Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Begum, Momtaz; Zulfiqar, Nasrin; Yasmin, Fatema

doi:10.3329/pulse.v8i1.28097

Cited by 3 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The demographic data including age, parity and body mass index were similar to other studies 16,17 . The most common indication for TLH in our study was leiomyoma (51.7%) which is similar to the study done by Moon 18 and Begum 19 .…”

Section: Discussionsupporting

confidence: 90%

See 1 more Smart Citation

Clinical Outcomes of Total Laparoscopic Hysterectomy (TLH): Seven Years’ Experience in a Public Hospital

Sultana¹,

Khan

Ashraf

et al. 2019

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

Objective: The aim of the study was to explore the surgical outcomes of total laparoscopic hysterectomy. Materials and methods: This was a prospective analysis of total Laparoscopic Hysterectomy (TLH) done between January, 2012 to December, 2018 in Shaheed Suhrawardy Medical College and Hospital. Demographic data, clinical criteria, intra operative and postoperative outcome data were recorded. Data were collected in a predesigned Data collection sheet. Follow up records done during discharge from the hospital, one week and four weeks postoperatively. Results: Total 298, laparoscopic hysterectomy were performed during the period. Among them 96 % (n=286) for benign and 4 %( n=12) for malignant condition were included in the study population. Mean age of the patients was 45.4 ± 5.6 years, mean parity was 1.9 ± 0.64 and the mean body mass index was 27.48 ± 0.57. The most common benign disease was leiomyoma, 51.7 %. Among the study cases 21.8% (n=65) had history of at least one previous abdomino-pelvic surgery. Maximum size of uterus removed was 28 weeks and maximum patients, 48% (n=143) had uterine size of 10-14 weeks. The operating time was variable between 50 min to 180 min and in the course of time, the mean operating time dropped from 130 min to 60 min. The mean length of hospital stay was 2 days and the return to normal activities was within 2 weeks. Major complications observed among 3.7 % of cases among them 2(0.67%) bladder injury, 2(0.67%) vesico-vaginal fistula (VVF), 3(1.0%) ureterovaginal fistula (UVF) and 4(1.3%) peroperative hemorrhage requiring blood transfusion. Among the 7 cases of urological complications, one patient with VVF and one patient with UVF needed relaparotomy. Ultimately all cases were managed without any residual problem. Conversion to laparotomy was 0.3 % (n=1) of case. Conclusion: TLH offers the benefit of minimally invasive surgery to the patient and is a safe and acceptable alternative to standard hysterectomy for various gynaecological indications. Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 28-35

show abstract

Section: Discussionsupporting

confidence: 90%

“…Although the laparoscopic hysterectomy techniques were not identical in all series, our results are nevertheless comparable with those already published regarding operative time, hospital stay, major complications and rate of conversion ( Table 6) 13,[16][17][18][19]28 .…”

Section: Discussionsupporting

confidence: 85%

Clinical Outcomes of Total Laparoscopic Hysterectomy (TLH): Seven Years’ Experience in a Public Hospital

Sultana¹,

Khan

Ashraf

et al. 2019

Bangladesh J Obstet Gynaecol

View full text Add to dashboard Cite

show abstract

“…8 Begum M et al reported mean operating time of 148±40 minutes. 29 Mean operating time of 115±36 minutes was noted by Mereu et al 30 This difference in mean operating time among different studies is because of the fact that TLH has a learning curve and a plateau as noted by various studies. Also, it was noted that the mean operating time has progressively reduced over the 5 years.…”

Section: Discussionmentioning

confidence: 95%

Total laparoscopic hysterectomy: a retrospective study of 5 years

Moni

Hoblidar

Desai

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Hysterectomy is one of the most common gynecological surgeries performed around the world. This study was done to review the data of all patients who underwent TLH. With this study a uniform method of performing TLH by a single surgeon was assessed.Methods: A 5 years retrospective study was performed at Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital Dharwad, Karnataka India. Demographic data, pre-operative findings, indication for surgery, intra-operative and post-operative complications, duration of surgery were recorded and analyzed.Results: A total of 118 women were included in the study. Mean age of the patients wasMost common indication for the surgery was leiomyoma. Mean operating time was 162.18 minutes. Mean weight of the post-operative specimen was 208.45 grams. Intra-operative urinary bladder injury was seen in 1 patient. Conversion to laparotomy was needed in 2 patients.Conclusions: With improving experience TLH can be performed safely without complications. As number of surgeries done increases duration of TLH reduces. TLH can be effectively used to avoid laparotomy.

show abstract

“…Although there are numerous benefits of vaginal over abdominal hysterectomy including lower morbidity and more rapid postoperative recovery,[ 2 ]70%–80% of all hysterectomies are performed abdominally. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Barbed suture in total laparoscopic hysterectomy: A comparative study of the safety in vaginal cuff closure with that of polyglactin 910 suture

Talwar

Velayudam

Hemapriya

et al. 2021

Gynecol Minim Invasive Ther

View full text Add to dashboard Cite

Objectives: To evaluate whether the use of barbed sutures during laparoscopic hysterectomy for vaginal cuff closure has reduced the surgical difficulty and incidence of post-operative complications as compared to polyglactin 910 suture. Materials and Methods: This is a randomized comparative study conducted at a tertiary care hospital and research institute where 100 patients were divided into two groups (50 each) and underwent vault closure using barbed suture/Polyglactin 910. Data collected include demographic details, indication for surgery, mean suturing time, degree of surgeon difficulty, and the incidence of postoperative complications when followed up to 12 weeks and were compared statistically using Chi square test and Independent-t test. Results: The use of barbed suture has significantly reduced the suturing time (5.39 min vs. 6.9 min, P < 0.0001) and surgical difficulty. The incidence of minor complications is similar to that of polyglactin 910. There were no cases of vaginal cuff dehiscence or bowel obstruction reported in our study. Conclusion: With the advantages of reduced suturing time and technical difficulty, and incidence of complications similar to conventional suture material, barbed sutures are to be considered as an excellent alternative to conventional suture materials.

show abstract

Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Cited by 3 publications

References 28 publications

Clinical Outcomes of Total Laparoscopic Hysterectomy (TLH): Seven Years’ Experience in a Public Hospital

Clinical Outcomes of Total Laparoscopic Hysterectomy (TLH): Seven Years’ Experience in a Public Hospital

Total laparoscopic hysterectomy: a retrospective study of 5 years

Barbed suture in total laparoscopic hysterectomy: A comparative study of the safety in vaginal cuff closure with that of polyglactin 910 suture

Contact Info

Product

Resources

About