Total laparoscopic hysterectomy in patients with previous abdominal surgery

Yada-Hashimoto, Namiko; Onoue, Masayo; Yoshimi, Kana; Hisa, Tsuyoshi; Kodama, Michiko; Otsuka, Hiroyuki; Saeki, Noriatsu; Funato, Takao

doi:10.1007/s00404-011-1882-1

Cited by 12 publications

(8 citation statements)

References 12 publications

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“…The prevalence of lower urinary tract injury during hysterectomy ranges from 0.30% to 1.35% and bladder injury is more common than ureter injury . The laparotomic conversion rate ranges from 0.60% to 6.97% . The prevalence of major complications in our study was consistent with previous studies.…”

Section: Discussionsupporting

confidence: 91%

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Safety of total laparoscopic hysterectomy in patients with prior cesarean section

Lim

Lee

Choi

et al. 2016

J of Obstet and Gynaecol

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Section: Discussionsupporting

confidence: 91%

“…6,7,21,22 The laparotomic conversion rate ranges from 0.60% to 6.97%. [23][24][25] The prevalence of major complications in our study was consistent with previous studies.…”

Section: Safety Of Tlh In Patients With Prior Cssupporting

confidence: 90%

Safety of total laparoscopic hysterectomy in patients with prior cesarean section

Lim

Lee

Choi

et al. 2016

J of Obstet and Gynaecol

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“…The overall complication rate of 3.0% in the present study was lower than in previously conducted studies (5.7%–19.0%) [ 13 15 16 17 18 ]. The reason for the relatively low complication rate in this study is presumably because an experienced surgeon performed TLH.…”

Section: Discussioncontrasting

confidence: 79%

Influence of previous abdominal surgery on clinical outcomes of patients undergoing total laparoscopic hysterectomy

et al. 2018

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ObjectiveTo evaluate the potential effects of previous abdominal surgery on post-operative outcome and incidence of complications after total laparoscopic hysterectomy (TLH).MethodsBetween June 2008 and December 2016, 331 patients who underwent TLH were retrospectively reviewed. Participating patients were divided into 2 groups according to previous abdominal surgery. We compared the 2 groups based on estimated blood loss, operation time, hospital stay, surgery-related complications, and conversion to laparotomy rates.ResultsGroup 1 included patients without a history of abdominal surgery (n=186), group 2 included patients with a history of abdominal surgery (n=145). The complication rate was 3.2% in group 1 and 2.8% in group 2. Other post-operative outcome and complications such as estimated blood loss, hospital stay and conversion to laparotomy rates did not differ significantly between groups. Adhesiolysis was significantly more common in group 2 (P<0.001) and operation time was significantly longer in the group 2 (P=0.004). The rate of conversion to laparotomy was higher in group 2, but this difference was not significant (P=0.115). Group 2 patients were divided into subgroups according to the number of surgery. In subgroups analysis of group 2, there were 70 patients who had one previous abdominal surgery and 75 patients who had 2 or more previous surgeries. Moreover, there were significant differences in adhesiolysis (P=0.004) and conversion to laparotomy (P=0.034). There were no significant differences in other complications observed upon subgroup analysis.ConclusionTLH can be conducted successfully regardless of previous abdominal surgery. Patients with previous abdominal surgery are suitable and feasible candidates for TLH.

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“…In the study conducted by Yada-Hashimoto et al (10), the complication rate was similar in both groups (6.8 and 5.4%, respectively), and no bladder, bowel, ureteral or vascular injuries were encountered. However, in our study, the complication rate was higher in Group 1 (4.1% and 0%, respectively); no bowel or vascular injuries were encountered, except 1 cases of ureteral injury in Group 1 which was detected on the third day by ureteroscopic examination after surgery and ureteroneocystostomy was conducted via the abdomen.…”

Section: Discussionmentioning

confidence: 68%

“…The reason for this difference in complication rate may be due to the small number of cases reported here which is not fully representative. Again, in the study conducted by Yada-Hashimoto et al (10), no statistical difference was reported in the TLH success rates in patients with and without a history of abdominal surgery. In that study, three patients with (6.8%) and two patients without (1.5%) a history of abdominal surgery converted to laparotomy.…”

Section: Discussionmentioning

confidence: 81%

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Çelik¹,

Abalı²,

Taşdemir³

et al. 2013

J Turkish German Gynecol Assoc

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Total laparoscopic hysterectomy in patients with previous abdominal surgery

Abstract: In our study, TLH can be performed successfully in patients with a history of abdominal surgery.

Cited by 12 publications

References 12 publications

Safety of total laparoscopic hysterectomy in patients with prior cesarean section

Safety of total laparoscopic hysterectomy in patients with prior cesarean section

Influence of previous abdominal surgery on clinical outcomes of patients undergoing total laparoscopic hysterectomy

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

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