Background: Laparoscopic hysterectomy is a frequent non-obstetrical surgical technique. Its main benefits are less hospital stay and complications, and better surgical results.
Objective: To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy.
Material And Method: Retrospective study. We review files of 87 patients with total laparoscopic hysterectomy since 2003 to 2006. General characteristics, indications, anesthetic technique, pneumoperitoneum means, trans- and post-operatory complications, procedure length, uterine size and weight, and conversion rate were examined.
Results: Average length of the procedure was 123.01 minutes, uterine size: 14.54 cm, uterine weight: 387 g (DE: 57.43). Trans-operatory bleeding was 151.01 mL, and hospital stay was 19.45 h (DE: 3.21). Trans-operatory complications were: bladder (1.14%), ureter (1.14%), small bowel (1.14%) and epigastric vessels (1.14%) injuries. Three patients had post-operatory complications: fever syndrome (3.4%) and sacral region burn injury (1.14%). Conversion rate to abdominal hysterectomy was 2.29%.
Conclusion: Total laparoscopic hysterectomy is a feasible and safe procedure with complications rate similar to that reported in literature, and it in an option for candidates to abdominal hysterectomy.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Impact of Body Mass Index on Operative Time in Women Undergoing Benign Hysterectomy.
JSLS
January 2025
Wake Forest University Health Sciences, Department of Obstetrics and Gynecology, Winston-Salem, NC. (Drs. Cochrane and Moulder).
Background: Optimization of surgical scheduling represents an opportunity to improve resource utilization and increase patient access. Increasing body mass index (BMI) has been associated with increased operating time and may provide an opportunity to more accurately predict operating time.
Objective: To investigate the relationship between BMI and operative time for benign hysterectomy and develop a predictive model for hysterectomy operating time based on patient BMI.
Laparoscopic Resection of an Isolated Myometrial Metastasis From Ileocecal Cancer: A Case Report.
Cureus
December 2024
Pathology, Social Insurance Tagawa Hospital, Tagawa, JPN.
A 67-year-old woman was diagnosed with ileocecal cancer presenting with intestinal obstruction. She underwent an ileocecal resection and D3 lymph node dissection. Pathological diagnosis showed a moderately differentiated adenocarcinoma, pT4aN0M0.
View Article and Find Full Text PDFSeptic Pelvic Thrombophlebitis Status Post-Laparoscopic Hysterectomy: A Case Report Investigating a Rare Yet Perilous Adverse Outcome.
Cureus
December 2024
Obstetrics and Gynecology, Saint Vincent Hospital, Erie, USA.
Septic pelvic thrombophlebitis is defined as an endovascular thrombus of infectious etiology. It is frequently diagnosed only after excluding other more common pathologies. A high level of suspicion should be maintained in the context of a fever refractory to broad-spectrum antibiotics that improves after initiation of systemic anticoagulation.
View Article and Find Full Text PDFManagement of Endometriosis-Related Pain: Comparing the Effectiveness of Hormonal Therapy, Surgical Interventions, and Complementary Therapies.
Cureus
December 2024
Obstetrics and Gynecology, King Faisal University, Al Hasa, SAU.
Endometriosis is a chronic, inflammatory disease characterized by the presence of endometrial-like tissue outside the uterus, affecting women of reproductive age. It is linked with debilitating pain, infertility, and a notable impact on the patient's quality of life. This review aims to highlight the effectiveness of hormonal therapy, surgical procedures, and complementary therapies in managing endometriosis-related pain, providing a comprehensive overview of current treatment options and their implications for clinical practice.
View Article and Find Full Text PDFChallenging and continuing laparoscopic radical hysterectomy for more than 30 Years at a single institution. After the LACC trial, should minimally invasive surgery for early-stage cervical cancer really be discarded?
Taiwan J Obstet Gynecol
January 2025
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taiwan.
Objective: The laparoscopic approach to cervical cancer (LACC) trial highlighted the necessity of an open approach for radical hysterectomy due to its negative impact on oncological outcomes. While minimally invasive surgery is an option for other organ cancers, its application in cervical cancer remains a challenge for surgeons. In this study, we aimed to assess the oncological outcomes of patients with early-stage cervical cancer who underwent minimally invasive radical hysterectomy performed by experienced oncologic endoscopists in gynecology at a single institution.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!