Total laparoscopic hysterectomy without uterine manipulator: description of a new technique and its outcome

Kavallaris, Andreas; Chalvatzas, Nektarios; Kelling, Katharina; Bohlmann, Michael K.; Diedrich, K.; Hornemann, Amadeus

doi:10.1007/s00404-010-1494-1

Cited by 32 publications

(37 citation statements)

References 10 publications

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“…This method goes along with less blood loss, less postoperative pain and shorter hospital stay [9]. This technique has been performed and described before at the University of Schleswig-Holstein, Department of Obstetrics and Gynecology, Campus Lübeck, Germany [8].…”

Section: Discussionmentioning

confidence: 98%

“…The follow-up of the study was until September 2011. The indication for hysterectomy was in almost all cases for benign conditions and included dysfunctional uterine bleeding, fibroid uterus, and endometrioses [8]. Also two cases of an early-staged cervical carcinoma were included which did not change operative technique which is described below.…”

Section: Methodsmentioning

confidence: 99%

“…The technique was also described in the past study [8]. Total laparoscopic hysterectomy was performed under general anesthesia in a trendelenburg position; a four-port laparoscopy was performed after the pneumoperitoneum had been created using the Veress needle.…”

Section: Operative Proceduresmentioning

confidence: 99%

“…A new technique of a total laparoscopic hysterectomy without using any kind of uterine manipulator or vaginal tube was described by Kavallaris et al [8]. This technique is especially helpful for patients with vaginal stenosis.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g)

Mebes

Diedrich

Banz‐Jansen

2012

Arch Gynecol Obstet

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Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Operative Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g)

Mebes

Diedrich

Banz‐Jansen

2012

Arch Gynecol Obstet

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“…It may be carried out by three different routes and its variations, vaginal, abdominal and laparoscopy with the advancement of laparoscopic technology, equipment, and training hysterectomies are increasingly performed laparoscopically. 1 The first laparoscopic hysterectomy was performed in the year 1989 by Reich et al 2 The laparoscopic hysterectomy has become one of the popular methods of hysterectomy in view of decreased morbidity, rapid, recovery and early resumption of work. One of the main drawbacks of laparoscopy is the steep learning curve and difficulty in improving the expertise.…”

Section: Introductionmentioning

confidence: 99%

Retrospective study on laparoscopic hysterectomy by vaginal vault closure method in a tertiary care centre

Ganiga

Divyashree

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Hysterectomy is the frequently performed operation for benign conditions of uterus, but the route of hysterectomy is always a matter of discussion. Laparoscopic hysterectomy is an expensive and time-consuming procedure and could be associated with increased risk of thermal damage related injuries to the surrounding structures. Presently, laparoscopic hysterectomy is considered to be a day care surgery because of technological improvement in electro-surgical unit and expertise of doing surgery. The objective of this study was as a retrospective observational study conducted in teaching hospital to study the factors like age, parity, indication and procedure related complications in detail.Methods: A total number of 40 patients who have undergone laparoscopic hysterectomy for various indications with vault closure by vaginal method with no. 1 PDS. A detailed analysis of cases was done according to age, parity, indication, intra-operative and post-operative outcomes.Results: Fibroid uterus was the most common indication for laparoscopic hysterectomy. Overall postoperative complication rate was 22.5% with no major morbidity reported.Conclusions: Laparoscopic hysterectomy has to be done with proper selection of patient and good peri-operative care. Vault closure by vaginal method has significantly reduced operating time, without increasing the morbidity.

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Laparoscopic sacrocolpopexy comparing polypropylene mesh with polyvinylidene fluoride mesh for pelvic organ prolapse: Technique description and long term outcomes

Kavallaris

Zygouris

2020

Neurourology and Urodynamics

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Aim: Our aim was to evaluate the feasibility and safety of laparoscopic sacrocolpopexy (LSCP) and compare the long-term outcomes and complication rates of polypropelene (PP) and polyvinylidene fluoride (PVDF), following up within a minimum of 12 months. Methods: This was a retrospective cohort study using patients who underwent LSCP for POP involving either PP or PVDF mesh between January 2011 and January 2018. Results: Our study focused on 172 women who underwent LSCP with mesh between January 2011 and January 2018. All procedures were successfully completed laparoscopically, and patients' baseline characteristics were not statistically different in the two groups. Between January 2011 and December 2014, we performed 82 cases of LSC, mainly using PP mesh. Over the last 5 years, since January 2015, we have used PVDF mesh for POP. Conclusions: LSCP using PVDF mesh was found to provide excellent anatomical and functional outcomes after a median follow-up duration of 41 months, compared with the PP group, which had a median follow-up duration of 54 months. Mesh infection and erosion rates in the PP group were significantly higher than those in the PVDF group. Additionally, rates of vaginal pain and discomfort were significantly lower in the PVDF group when compared with the PP group. K E Y W O R D S laparoscopic sacrocolpopexy, pelvic organ prolapse, polypropelene mesh, polyvinylidene fluoride How to cite this article: Kavallaris A, Zygouris D. Laparoscopic sacrocolpopexy comparing polypropylene mesh with polyvinylidene fluoride mesh for pelvic organ prolapse: Technique description and long term outcomes.

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Total laparoscopic hysterectomy without uterine manipulator: description of a new technique and its outcome

Cited by 32 publications

References 10 publications

Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g)

Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g)

Retrospective study on laparoscopic hysterectomy by vaginal vault closure method in a tertiary care centre

Laparoscopic sacrocolpopexy comparing polypropylene mesh with polyvinylidene fluoride mesh for pelvic organ prolapse: Technique description and long term outcomes

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