Prevention of complications in laparoscopic hysterectomy: Experience with 1120 cases performed by a single surgeon

Karaman, Yücel; Bingöl, Banu; Gunenc, Ziya

doi:10.1016/j.jmig.2006.08.016

Cited by 49 publications

(43 citation statements)

References 22 publications

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“…Mean skin-to-skin operative time was 52.83 (range 40-115 minutes) which was similar to Payne et al 17 and was shorter in comparison to other studies. 9,13,14,16 This difference may be due to increasing experience of surgeon and different authors report their series at different stages of learning curve.…”

Section: Discussionsupporting

confidence: 87%

“…The mean estimated blood loss was 40.50ml (15-200ml), which was comparable to mean 50 ml reported by studies 9,17 but was much lesser than other studies. 10,11,13,21 The variations in blood loss and operative time reported in the different studies can be explained by difference in mean uterine size, concomitant procedures, stage of learning curve and technique.…”

Section: Discussionsupporting

confidence: 77%

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Feasibility of total laparoscopic hysterectomy as a day care procedure

Chitra

Modi²

2014

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 77%

Feasibility of total laparoscopic hysterectomy as a day care procedure

Chitra

Modi²

2014

Int J Reprod Contracept Obstet Gynecol

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“…Most recent studies present TLH as safe, being performed for various indications including malignancy [11,[14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…In various studies conducted, Karaman et al [15] and Brummer et al [7] described a major complication rate of 1 and 1.8 %, respectively. In addition, Donnez described his retrospective study with 400 patients who underwent laparoscopic hysterectomy procedure, a major complication rate of 1.5 % [14].…”

Section: Discussionmentioning

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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“…There are equal numbers of proponents of this surgical technique as there are for conventional hysterectomy by laparotomy and vaginal hysterectomy. The complication rates reported in earlier multicentre studies showed a higher complication rate 2, 11,12, 13 similar rates 3,14 , and lower complications with laparoscopic approach 15 .…”

Section: Laparoscopic Assisted Hysterectomy For Benign Gynaecologicalmentioning

confidence: 76%