Choice of route for hysterectomy &amp;#8211; evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008

Klimczak, Krzysztof; Malinowski, Andrzej; Dejewski, Cezary

doi:10.5114/wiitm.2010.13601

Cited by 1 publication

(1 citation statement)

References 26 publications

(24 reference statements)

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“…Klimczak et al . reported that conversion from laparoscopic hysterectomy to laparotomy and thermal injury to the ureter can occur at the beginning of the learning curve of LH [ 31 ]. Garry indicated that studies comparing hysterectomy methods are generally multicenter and far from being objective, and complication rates do not allow clear assessment [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Which one is safer - performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Yavuzcan¹,

Yıldız²,

Çağlar³

et al. 2013

Videosurgery and Other Miniinvasive Techniques

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IntroductionIt still remains an unanswered question whether, in the absence of gynecological malignancy and under elective conditions, to perform abdominal hysterectomy (AH), offering a safer approach, or to perform a laparoscopic hysterectomy (LH) procedure.AimWe aimed to compare LH operations performed with a tissue fusion device accompanied by intraoperative diagnostic cystoscopy with traditional AH operations involving bilateral ureteral dissection.Material and methodsThe integrity of the ureters, ureteral peristalsis and the diameter of the ureters were examined during AH by inspection. At the end of LH, the bladder wall was systematically evaluated by cystoscopy and a jet of urine spurting was noted from both ureteral orifices.ResultsThe operation time was longer in patients who underwent LH + CYS (p = 0.0001). The decline in hematocrit and hemoglobin levels in the postoperative period was significantly higher in patients who underwent AH + UD (p = 0.0001 and p = 0.002, respectively). No significant difference was found between the two groups in terms of ureteral injury, bowel injury or bladder injury (p = 0.378, p = 1.000 and p = 1.000, respectively). There was no statistically significant difference between the two groups in terms of mean body temperature and postoperative blood transfusion requirements (p = 0.051 and p = 0.210, respectively). Mean parenteral analgesic requirement and length of hospital stay were significantly different between the groups (p = 0.005 and p = 0.0001). No statistically significant difference was found between the two groups in terms of postoperative cardiopulmonary complications, re-operation rate or occurrence of genitourinary fistula (p = 1.000, p = 1.000 and p = 1.000, respectively).ConclusionsWe concluded that LH performed with a tissue fusion device involving diagnostic cystoscopy yields major and minor complication rates similar to safely performed AH operations preserving ureters.

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Section: Discussionmentioning

confidence: 99%

Which one is safer - performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Yavuzcan¹,

Yıldız²,

Çağlar³

et al. 2013

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

Choice of route for hysterectomy – evaluation of procedures performed in the gynaecological department of the Tuchola District Hospital, from 2005 to 2008

Abstract: A b s t r a c t Key words: abdominal hysterectomy (AH), vaginal hysterectomy (VH), laparoscopic assisted vaginal hysterectomy (LAVH), laparoscopic total hysterectomy (LTH), laparoscopic supracervical hysterectomy (LASH).

Cited by 1 publication

References 26 publications

Which one is safer - performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Which one is safer - performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

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