Finnish national register of laparoscopic hysterectomies: A review and complications of 1165 operations

Härkki-Sirén, Päivi; Sjöberg, Jari; Mäkinen, Juha; Heinonen, Pentti K.; Kauko, Minna; Tomás, Eija; Laatikainen, Timo

doi:10.1016/s0002-9378(97)80023-3

Cited by 129 publications

(80 citation statements)

References 15 publications

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“…The main reasons for hysterectomy in Finland are uterine fibroids and menorrhagia. 34 As we had 1,596 total hysterectomies compared to that of 86 subtotal ones (of which 89 and 1 among the hrHPV positives, respectively), we do not have enough power to evaluate if there are statistically significant differences between these 2 methods and risk of the hrHPV infection.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of oncogenic human papillomavirus infection in an organised screening population in Finland

Leinonen

Kotaniemi-Talonen

Anttila

et al. 2008

Intl Journal of Cancer

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A persistent high-risk human papillomavirus (hrHPV) infection is a necessary condition for developing a cervical intraepithelial neoplasia and cervical cancer. The viral aetiology in cervical carcinogenesis has stimulated attempts to use HPV DNA detection in cervical cancer screening. In Finland there is an ongoing study assessing the benefits of primary HPV DNA testing in the setting of centrally organised mass screening for cervical cancer. Here we present the age-specific prevalence of hrHPV infection and associated sociodemographic factors of 16,895 women aged 25-65 years attending the 5-yearly cervical cancer screening between years 2003 and 2004. The overall hrHPV prevalence rate was 7.5%. The peak prevalence at the age group of 25-29 was 24.1% decreasing steadily thereafter to approximately 2.9% in women aged 65 years. Young age and marital status were the main determinants for oncogenic HPV types. Our study confirms the inverse relationship between age and hrHPV prevalence reported in many developed countries. As our prevalence rates and hence background risk for cervical cancer are not lower than in other European countries, it is likely that our lowest cervical cancer burden in Europe is due to health care actions justifying the organised cervical cancer screening. ' 2008 Wiley-Liss, Inc.Key words: high-risk HPV; prevalence; age; cervical cancer; screeningIn Finland an organised nationwide screening programme has been running over 40 years, reducing the age-adjusted incidence and mortality of cervical cancer by 80%, 1 incidence rate being about 4 cases per 100,000 woman-years nowadays. Nevertheless, there are still about 160 new cancer cases every year making the cervical cancer the third most common gynaecological cancer, but 20th of all female cancers, in Finland. 2 However, during the last 10 years, the cervical cancer incidence rate has been increasing among young target ages of the screening programme which is mainly due to inadequate attendance rates to the screening programme. 1 Cohort effects related to changes in exposure to risk factors such as sexual behaviour and smoking habits may also partly explain the increase.Despite the enormous impacts of cytology based screening on cervical cancer incidence and mortality rates in Finland, the Pap test has its limitations as errors in sample taking and in interpretation. As it is known that a persistent high-risk human papillomavirus (hrHPV) infection is a necessary condition for developing a cervical intraepithelial neoplasia (CIN) and cervical cancer 3 and moreover, hrHPV DNA is found in virtually all cases of cervical cancer, 4,5 HPV DNA detection has been suggested for cervical cancer screening as the primary test.To find out whether using HPV DNA detection can bring increase into the routine population-based screening programme effectiveness in Finland, a commercial hrHPV detection test, Hybrid Capture 2 (HC 2, Digene Corporation, Gaithersburg, MD), has been implemented into cervical cancer screening programme as the primary screening test sinc...

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Section: Discussionmentioning

confidence: 99%

Prevalence of oncogenic human papillomavirus infection in an organised screening population in Finland

Leinonen

Kotaniemi-Talonen

Anttila

et al. 2008

Intl Journal of Cancer

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“…[7,[29][30][31][32][33] No urinary tract damage was observed in the VH group; however, in the 2D TLH group, two patients reported ureter injury and one patient revealed vesicovaginal fistula; in the 3D TLH group, ureter injury developed in one patient in our study. We found urinary injury ratios for 2D and 3D TLH groups (2.9% and 2.4%, respectively) to be higher than the 0.2%-0.4% values for TLH as mentioned in other studies; [34,35] however, we did not observe any significant difference between the 2D and 3D TLH groups in terms of the urinary injury rates.…”

Section: Discussionmentioning

confidence: 69%

Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

Bayramoglu

Tepe

2017

EJMO

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H ysterectomy is the oldest and commonly performed gynecological procedure. [1] It is the second most frequent gynecological operation after the cesarean section. [2,3] Importantly, uterus removal (excluding malignancies) is performed because of fibroids, bleeding irregularities, endometrial hyperplasia or cervical dysplasia, endometriosis, and prolapse. [1] Hysterectomies have been traditionally performed by laparotomy or vaginally. However, with recent advances in technology, laparoscopic equipment, and training, hysterectomies are being increasingly performed by laparoscopy.[4] As a consequence, a reduction of 38% in abdominal hysterectomy was observed in Western countries, with an increase in laparoscopic and vaginal surgeries. [2,5] With the worldwide increase of laparoscopic procedures, it is necessary for gynecological surgeons to publish and share their techniques, successes, complications, and recommendations to avoid possible adverse outcomes. [4] In cases whereObjectives: This study aimed to compare the outcomes of vaginal hysterectomy (VH) and two-and three-dimensional total laparoscopic hysterectomy (2D TLH, 3D TLH) in women with benign uterine diseases. Methods: A retrospective, randomized study was conducted at the Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital between 2010 and 2012. Overall, 99 women underwent VH, 68 underwent 2D TLH, and 41 underwent 3D TLH. Patients' ages, parities, uterine weights, pre-and postoperative hemoglobin (Hb) and hematocrit (Htc) values, operating times, complication rates, and hospitalization duration were compared. Results: A statistically significant difference was found among the groups in terms of patients' ages, parities, uterine weights, operating times, and hospitalization duration (p<0.05). Patients who underwent 3D TLH were younger and had lesser parities, greater uterine weights, and shorter operating times. The hospitalization duration was similar between the 2D and 3D TLH groups (average, 2 days; min, 1 day; and max, 8-10 days); however, it was shorter than the VH group (average, 3 days; min, 3 days; and max, 8 days). No statistically significant difference was observed among the groups in terms of the pre-and postoperative Hb/Htc values and complication rates (p>0.05). Conclusion: VH still remains the preferred procedure for patients with uterine prolapse and patients who require pelvic repair. 3D TLH offers quick operation with less complication rates and morbidity and reduces the hospitalization duration. Because of more favorable outcomes, we presume that 3D TLH may replace 2D TLH in the near future.

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“…Повреждение сосудов во время лапароскопических операций, к счастью, встречается редко. Результаты исследований, про-веденных в отдельных странах, показали, что часто-та составляет 0,1 случая на тысячу процедур [23,24]. Это ниже, чем частота повреждений других органов (кишечника, уретры или мочевого пузыря) [25][26][27].…”

Section: Discussionunclassified

On the issue of iliac arteries reconstruction in case of their iatrogenic damage during laparoscopic surgeries

Lemenev¹,

Mikhailov²,

Isaev³

et al. 2016

Endosk. khir.

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Finnish national register of laparoscopic hysterectomies: A review and complications of 1165 operations

Cited by 129 publications

References 15 publications

Prevalence of oncogenic human papillomavirus infection in an organised screening population in Finland

Prevalence of oncogenic human papillomavirus infection in an organised screening population in Finland

Vaginal Hysterectomy Versus Two-dimensional and Three-Dimensional Total Laparoscopic Hysterectomy in Women With Benign Uterine Diseases

On the issue of iliac arteries reconstruction in case of their iatrogenic damage during laparoscopic surgeries

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