Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

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Küçük Resim

Tarih

2013

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Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Objective: The primary aim of this study is to evaluate the effects of previous abdominal surgery on the feasibility of performing and the safety of total laparoscopic hysterectomy (TLH). Material and Methods: In this retrospective study, we analysed 62 laparoscopic hysterectomies which were performed at our institute between February 2011 and January 2013. We chose to perform laparoscopic surgery for all patients, including those who had previously undergone abdominal surgery. The patients were classified into two groups: Group 1 included patients with a history of abdominal surgery (n=24) and Group 2 included patients without a history of abdominal surgery (n=38). Results: The operating period was compared in both groups: 184.43±51.0 min. for Group 1 and 195.41±64.1 min. for Group 2 (p=0.471). Postoperative hospital stay and blood loss was also compared. There was just 1 conversion from TLH to a laparotomy in both groups. None of the patients in Group 1 needed a blood transfusion, whereas 1 in Group 2 did. Conclusion: We found that operation time, postoperative hospital stay, blood loss, rate of operative complications or conversion rate to open surgery between patients with and without a history of abdominal surgery were comparable. Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH. © 2013 by the Turkish-German Gynecological Education and Research Foundation.

Açıklama

Anahtar Kelimeler

Complications, Laparoscopic hysterectomy, Previous surgery, abdominal surgery, adult, article, blood transfusion, female, human, hysterectomy, laparoscopic surgery, laparotomy, length of stay, major clinical study, medical history, operation duration, ovary cyst, patient coding, pelvic organ prolapse, pelvis pain syndrome, postoperative hemorrhage, postoperative period, retrospective study, surgical patient, surgical technique, total laparoscopic hysterectomy, uterine cervix carcinoma in situ, uterus bleeding, uterus myoma

Kaynak

Journal of the Turkish German Gynecology Association

WoS Q Değeri

Scopus Q Değeri

Q3

Cilt

14

Sayı

2

Künye