Comparative analysis of different laparoscopic hysterectomy procedures

Hobson, Deslyn; Imudia, Anthony N.; Al-Safi, Zain; Shade, George H.; Krüger, Michael; Diamond, Michael P.; Awonuga, Awoniyi O.

doi:10.1007/s00404-011-2140-2

Cited by 18 publications

(9 citation statements)

References 31 publications

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“…Depletion of uterine perfusion reducing blood bulk within uterus can effectively control EBL in using laparoscopy to perform hysterectomy [11,19,20], thereby the EBL of performing laparoscopic total hysterectomy (LTH) is significantly less than LAVH [21,22]. In this study, tVNOTEH can be viewed as a reversed fashion of LTH, blocking the main blood supply of uterus first followed by dissecting of parametrium and adnexal pedicles.…”

Section: Discussionmentioning

confidence: 91%

Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri

Wang

Huang

et al. 2014

Surg Endosc

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Section: Discussionmentioning

confidence: 91%

Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri

Wang

Huang

et al. 2014

Surg Endosc

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“…Across the world, the most common gynecologic surgical procedure performed is hysterectomy, the most common being benign indications which contribute to more than 70 % [1] such as myomas, dysfunctional uterine bleeding with or without endometrial hyperplasia, adenomyosis, pre-invasive disease like cervical dysplasia, or for malignant disease such as endometrial cancer or early stage cervical cancer [2]. Nowadays, laparoscopy is being increasingly adopted besides the traditional open access and vaginal access.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Hysterectomies: Our 10 Years Experience in a Single Laparoscopic Center

Bettaiah¹,

Reddy²

2015

J Obstet Gynecol India

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Study Objective To evaluate the association between outcomes of laparoscopic hysterectomy with respect to clinical factors, intraoperative variants, and post-operative complications. Design The study conducted was retrospective (Canadian Task Force Classification II-1). Setting The set used in this study was a gynecological laparoscopic centre. Patients The present study included 858 women who underwent laparoscopic hysterectomies with or without bilateral/unilateral salpingo-oophorectomy, from December 2004 to May 2014. Interventions Eight hundred and sixteen patients underwent total laparoscopic hysterectomy, 14 patients underwent subtotal laparoscopic hysterectomy, 20 patients underwent laparoscopic-assisted vaginal hysterectomy, and 8 patients underwent laparoscopic radical hysterectomy with bilateral pelvic lymph node dissection. Measurements and Main Results All surgeries were performed by the same surgeon, using the same surgical technique. The medical records were reviewed, and data were collected with respect to age, indications, type of surgery performed, intraoperative variants, and post-operative complications. Patient average age was 44.9 ± 6.2 years. Most common indication for benign TLH was leiomyoma of 54.4 %. Indications for laparoscopic radical hysterectomy were early stage endometrial cancer (n = 5) and early stage cervical cancer (n = 3). The maximum uterine size operated on was from 20-26 weeks, 4.9 % (n = 42). 9.7 % had previous abdominopelvic surgery. Fifty three % 123 underwent unilateral/bilateral salpingo-oophorectomy. Conversion rate was 0.93 % (n = 8). The minimum and maximum operating time during the total study period was 20 min-2 h. The major complication rates were 0.9 % (n = 8). The hospital stay was not more than 2 days. Conclusion In our experience of 858 laparoscopic hysterectomies, 850 were done for benign indications, and 8 done for malignancies. TLH can be performed more safely and under vision, with less blood loss, early post-operative recovery, less post-operative infection, and less complication rate.

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“…A major advantage of laparoscopic supracervical hysterectomy (LASH) is seen in the minimally invasive approach leading to less blood loss, shorter hospital stay, and faster convalescence [1,2]. Recently, the electrosurgical resources for tissue preparation and vessel sealing have been expanded to include devices that can offer both coagulation and cutting.…”

mentioning

confidence: 99%

Laparoscopic Supracervical Hysterectomy Using EnSeal vs Standard Bipolar Coagulation Technique: Randomized Controlled Trial

Rothmund

Kraemer

Brucker

et al. 2013

Journal of Minimally Invasive Gynecology

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Comparative analysis of different laparoscopic hysterectomy procedures

Abstract: Antecedent gynecological history and the indications for surgery were associated with the type of LH performed in our institution. LSH was the most common approach and was associated with significantly less morbidity.

Cited by 18 publications

References 31 publications

Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri

Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery for nonprolapsed uteri

Laparoscopic Hysterectomies: Our 10 Years Experience in a Single Laparoscopic Center

Laparoscopic Supracervical Hysterectomy Using EnSeal vs Standard Bipolar Coagulation Technique: Randomized Controlled Trial

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