Hystérectomie par cœlioscopie en dix étapes

Bourdel, Nicolas; Tran, X.; Botchorhisvili, R.; Pouly, Jean-Luc; Canis, Michel; Mage, G.

doi:10.1016/j.jchir.2009.09.008

Cited by 11 publications

(6 citation statements)

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“…The latter could be a direct consequence of the lesser peritoneal trauma and less inflammatory response during laparoscopy [9, 10]. Moreover, our technique of LH [11] includes a wide fenestration of the broad ligament, which is left open after surgery. Based on our observations, the ovaries remain much more movable after LH when compared to open approach (due to the skeletonization of infundibulopelvic ligament).…”

Section: Discussionmentioning

confidence: 99%

Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

Larraín

Casanova

Rojas

2018

Case Reports in Obstetrics and Gynecology

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Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Furthermore, we performed a literature review about ovarian torsion after hysterectomy. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH.

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Section: Discussionmentioning

confidence: 99%

Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

Larraín

Casanova

Rojas

2018

Case Reports in Obstetrics and Gynecology

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“…The technique of ovariopexy has been well described in the literature and is recommended especially during laparoscopic hysterectomy. It involves creation of a window of the posterior leaf of the broad ligament to isolate and pedunculate the infundibulopelvic ligament, and is performed in order to reduce the risk of torsion in cases of ovarian preservation, and to have an easily identifiable ovary for postoperative imaging follow-up [12].…”

Section: Discussionmentioning

confidence: 99%

“…Before the development of modern imaging techniques, the diagnosis of OVT was based on laparotomic evaluation or a heparin test [12]. Nowadays, ultrasonography, magnetic resonance angiography, and CT scan can be used for its diagnosis [9].…”

Section: Discussionmentioning

confidence: 99%

Ovarian vein thrombosis after total laparoscopic hysterectomy with unilateral adnexectomy: A case report

Al-Αchmar

Stavrou

Πρωτόπαπας

et al. 2017

International Journal of Surgery Case Reports

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“…Total HT with or without bilateral annexectomy by laparoscopy at 12 mm Hg was performed using our department's standard technique [18,19] with 3-mm instruments (group A) (KARL STORZ GmbH & Co. KG, Tuttlingen, Germany) or conventional 5-mm instruments (group B). In group B, 4 trocars were placed: one 10-mm optic trocar in the umbilicus and three 5-mm trocars (1 suprapubic and 2 lateral in the iliac fossa).…”

Section: Interventionmentioning

confidence: 99%

Minilaparoscopic Total Hysterectomy in Current Practice Feasibility and Benefits: A Unicentric, Randomized Controlled Trial

Béguinot

Botchorishvili²,

Curinier³

et al. 2020

Journal of Minimally Invasive Gynecology

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To investigate whether mini-instrumentation may be used for hysterectomy (HT) by all surgeons (assistants and seniors) without increasing the operative time or altering surgeon working conditions. Design: A unicenter, randomized controlled, single blind, parallel, noninferiority trial comparing 2 surgical techniques. Setting: A tertiary referral center. Patients: Thirty-two patients undergoing HT for a benign gynecologic disease were enrolled in this study in our center between April 2, 2015, and June 1, 2018. Sixteen patients were randomized in group A and 16 patients in group B. Interventions: HT with bilateral annexectomy or ovarian conservation using 3-mm instruments (group A) or conventional 5-mm instruments (group B). Measurements and Main Results: Concerning the primary outcome, the operative time for the HT 3-mm group was 128 minutes (range, 122−150 minutes) versus 111 minutes (range, 92−143 minutes) for the HT 5-mm group (i.e., d = 17 [90% confidence interval, À6 to 39]), with rejection of the noninferiority threshold at 35 minutes. Thirty-one percent of HTs initially performed using 3-mm instruments were completed with conventional instruments. HTs performed with mini-instruments required more concentration (p = .02) with surgeons reporting higher levels of frustration (p = .009) and sense of failure (p = .006). Patients tend to experience greater satisfaction regarding scars with a significant difference noted during the postoperative visit both for scar pain (1 vs 4 patients with moderate pain [30−50 mm on the Patient Scar Assessment Scale) in the HT 3-mm group and the HT 5-mm group, respectively) and scar firmness (p = .021; 3 vs 7 patients with moderate firmness [30−50 mm on the Patient Scar Assessment Scale] in the HT 3-mm group and the HT 5-mm group, respectively). Conclusion:Total minilaparoscopic HT appears inferior to standard laparoscopy in terms of operative time and surgeon working conditions; only the short-term cosmetic appearance was in favor of the 3-mm approach.

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Hystérectomie par cœlioscopie en dix étapes

Cited by 11 publications

References 0 publications

Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

Ovarian vein thrombosis after total laparoscopic hysterectomy with unilateral adnexectomy: A case report

Minilaparoscopic Total Hysterectomy in Current Practice Feasibility and Benefits: A Unicentric, Randomized Controlled Trial

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