Gasless Total Laparoscopic Hysterectomy with New Abdominal-Wall Retraction System

Kim, Mi Kyoung; Hwang, Jong Ha; Kim, Jang-Heub; Kim, Soo Rim; Lee, Sae Bom; Kim, Bo Wook

doi:10.4293/jsls.2019.00061

Cited by 9 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, smoke from electrical instruments and blood buildup in the pelvic cavity can be quickly cleared without affecting surgical procedures. The results of this study showed that the operation time of the MS-GSPL group was significantly shorter than that of the SPL group, which was consistent with the results of Kim et al [25]. However, there are some limitations in the implementation of gasless single-port Laparoscopy.…”

Section: Resultssupporting

confidence: 90%

“…CO2 pneumoperitoneum can excite the vagus nerve through the pressure and chemoreceptors of the gastrointestinal system, weaken gastrointestinal peristalsis [23], increase the probability of postoperative nausea and vomiting, and affect the recovery of gastrointestinal function [24]. Our results showed that compared with the SPL group, the MS-GSPL group had less postoperative exhaust time and lower incidence of nausea and vomiting, which was consistent with the study results of Kim [25]. It can promote early enteral feeding and enhance recovery after surgery.…”

Section: Resultssupporting

confidence: 90%

See 1 more Smart Citation

A simple Gasless Single-port Laparoscopy suitable for use in middle- and low-income countries or primary hospitals

Wang¹,

Li²

2022

Preprint

View full text Add to dashboard Cite

Study Objective: To explore the effectiveness of a modified suspension method combined with Gasless single-port laparoscopy (MS-GSPL) for the treatment of benign ovarian tumors. The aim of this approach is to provide a convenient, economical,and minimally invasive method that is suitable for widespread use, even in middle- and low-income countries or primary hospitals. Design: A retrospective comparative study. Setting: University teaching hospital. Patients: Thirty-six cases were treated with MS-GSPL, and thirty-six cases were treated with single-port laparoscopy (SPL). Interventions: Use a modified suspension method combined with Gasless single-port laparoscopy for the treatment of benign ovarian tumors. Measurements and Main Results: There are no significant differences in age, body mass index,previous pelvic surgery, tumor diameter ,and tumor pathologic outcomes between MS-GSPL group and SPL group.The median operation times were 50(Q1~Q3 , 44~62.25)min in the MS-GSPL group and 60.5(Q1~Q3 , 57.25~78)min in the SPL group with a significant difference. The median estimated blood loss were 40 (Q1~Q3 , 30~50)ml in the MS-GSPL group and 50(Q1~Q3 , 30~60) ml in the SPL group with no significant difference. Compared with SPL group, patients in MS-GSPL group had earlier postoperative exhaust times, shorter hospital stays and lower costs, and all these differences were statistically significant(P<0.05). There was a strong positive correlation between operation time and BMI in the MS-GSPL groups. Conclusion: The patients receiving MS-GSPL treatment have quick postoperative recoveries. MS-GSPL is a novel, safe and economical surgical method that is suitable for extensive clinical development in middle- and low-income countries or primary hospitals.

show abstract

Section: Resultssupporting

confidence: 90%

Section: Resultssupporting

confidence: 90%

A simple Gasless Single-port Laparoscopy suitable for use in middle- and low-income countries or primary hospitals

Wang¹,

Li²

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…A detailed summary of the risk of bias for RCTs using RoB-2 tool is listed in Table 3 Supplement. In the non-RCT group, there were 12 general surgery and 10 gynaecology studies, with a total of 1,385 patients (Table 2 Supplement) [14][15][16][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83]. The overall result level assessment for each outcome varied between low to high risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…Recent publications have demonstrated non-inferiority of gasless laparoscopy for general and gynaecological surgery with no difference in peri-operative outcomes when compared to conventional laparoscopy [ 13 , 14 ]. Non-RCTs comparing gasless to open surgery have also shown favourable outcomes [ 15 , 16 ].…”

mentioning

confidence: 99%

Clinical effectiveness of gasless laparoscopic surgery for abdominal conditions: systematic review and meta-analysis

et al. 2021

View full text Add to dashboard Cite

Background In high-income countries, laparoscopic surgery is the preferred approach for many abdominal conditions. Conventional laparoscopy is a complex intervention that is challenging to adopt and implement in low resource settings. This systematic review and meta-analysis evaluate the clinical effectiveness of gasless laparoscopy compared to conventional laparoscopy with CO2 pneumoperitoneum and open surgery for general surgery and gynaecological procedures. Methods A search of the MEDLINE, EMBASE, Global Health, AJOL databases and Cochrane Library was performed from inception to January 2021. All randomised (RCTs) and comparative cohort (non-RCTs) studies comparing gasless laparoscopy with open surgery or conventional laparoscopy were included. The primary outcomes were mortality, conversion rates and intraoperative complications. Secondary outcomes: operative times and length of stay. The inverse variance random-effects model was used to synthesise data. Results 63 studies were included: 41 RCTs and 22 non-RCTs (3,620 patients). No procedure-related deaths were reported in the studies. For gasless vs conventional laparoscopy there was no difference in intraoperative complications for general RR 1.04 [CI 0.45–2.40] or gynaecological surgery RR 0.66 [0.14–3.13]. In the gasless laparoscopy group, the conversion rates for gynaecological surgery were high RR 11.72 [CI 2.26–60.87] when compared to conventional laparoscopy. For gasless vs open surgery, the operative times were longer for gasless surgery in general surgery RCT group MD (mean difference) 10 [CI 0.64, 19.36], but significantly shorter in the gynaecology RCT group MD − 18.74 [CI − 29.23, − 8.26]. For gasless laparoscopy vs open surgery non-RCT, the length of stay was shorter for gasless laparoscopy in general surgery MD − 3.94 [CI − 5.93, − 1.95] and gynaecology MD − 1.75 [CI − 2.64, − 0.86]. Overall GRADE assessment for RCTs and Non-RCTs was very low. Conclusion Gasless laparoscopy has advantages for selective general and gynaecological procedures and may have a vital role to play in low resource settings.

show abstract

“…Abdominal hysterectomy is mainly used to treat hysteromyoma, vaginal hysterectomy is mainly used to treat prolapse, and abnormal bleeding is mainly treated by laparoscopic hysterectomy (Jacoby et al, 2009). In recent years, with the rapid development of artificial intelligence technology, robotic hysterectomy (Dahm‐Kähler et al, 2021), Gasless Total Laparoscopic Hysterectomy with New Abdominal‐Wall Retraction System (Kim et al, 2020) and other new surgical options are constantly evaluated and improved. The new operation method has the advantage of reducing postoperative complications such as bleeding, infection.…”

Section: Introductionmentioning

confidence: 99%

The real experience with women's hysterectomy: A meta‐synthesis of qualitative research evidence

Shen

Wang

et al. 2022

Nursing Open

View full text Add to dashboard Cite

Hysterectomy is the most common gynaecological surgery in the world (Barker, 2016;Hammer et al., 2015), which is an important treatment for benign gynaecological diseases such as fibroids, endometriosis and uterine prolapse (Lundholm et al., 2009;Whiteman et al., 2008). When non-operative treatment cannot solve the pain of common gynaecological benign diseases, hysterectomy to relieve symptoms and improve women's quality of life has become a possible choice (Rannestad, 2005). However, several studies have reported that patients experience varying degrees of anxiety and depression before and after hysterectomy due to multiple factors such as individual personality traits, fear of surgery, concerns about altered self-image and the strength of family support (Donoghue et al., 2003;Thornton et al., 1997;Wilson et al., 2018). Studies have also reported potentially important associations between age and disease progression and the mental health status of women undergoing hysterectomy, particularly before the age of 40 and in the case of more severe disease, which can increase the psychological burden of women (Cooper et al., 2009). Therefore, fully understanding and exploring the real experience of hysterectomy patients can promptly identify the possible psychological and spiritual needs of patients

show abstract

Gasless Total Laparoscopic Hysterectomy with New Abdominal-Wall Retraction System

Cited by 9 publications

References 25 publications

A simple Gasless Single-port Laparoscopy suitable for use in middle- and low-income countries or primary hospitals

A simple Gasless Single-port Laparoscopy suitable for use in middle- and low-income countries or primary hospitals

Clinical effectiveness of gasless laparoscopic surgery for abdominal conditions: systematic review and meta-analysis

The real experience with women's hysterectomy: A meta‐synthesis of qualitative research evidence

Contact Info

Product

Resources

About