Evaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses
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2016
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Abstract
Objective The aim of this study was to investigate whether uterine weight has a deleterious effect on the operation time, complication rates, length of hospital stay and incidence of intraoperative haemorrhage during total laparoscopic hysterectomy operation. Methods A total of 282 patients who underwent total laparoscopic hysterectomy for benign gynaecologic indications were retrospectively analyzed. The median operation time of 70 min was accepted as an index number, and a cut-off point of ≥300 g was calculated for uterine weight by using reciever operator characteristics (ROC) curve analysis. Results There was no statistically significant relationship between the uterine weight and haemoglobin drop rate (1.27 ± 0.89 vs 1.21 ± 0.88, p = 0.905), complication rate (10.83% vs 9.26%, p = 0.062) and length of hospital stay (3.27 ± 1.23 vs 3.37 ± 1.35 days, p = 0.505) based on this cut. Lee-Huang point was preferred for abdominal entry in cases with uteruses reached the level of umbilicus −2 cm in physical examination. Conclusions Uterine weight was not effected the complication rate, estimated blood loss and length of hospital stay in total laparoscopic hysterectomy operation. A cut-off value of 300 g could be used for an increased operation time. © 2016 IJS Publishing Group Ltd
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Adult , Blood Loss, Surgical , Female , Humans , Hysterectomy , Laparoscopy , Length of Stay , Middle Aged , Operative Time , Organ Size , Postoperative Complications , Retrospective Studies , Uterine Diseases , hemoglobin , adult , Article , bladder injury , device infection , endometrium hyperplasia , female , hernia , human , hysterectomy , intestine injury , laparoscopic surgery , length of stay , major clinical study , middle aged , operation duration , operative blood loss , outcome assessment , pelvic pain , peroperative complication , physical examination , postoperative ileus , predictive value , priority journal , retrospective study , trocar , umbilicus , ureter injury , uterus bleeding , uterus myoma , uterus prolapse , uterus weight , vagina disease , adverse effects , hysterectomy , laparoscopy , length of stay , operation duration , operative blood loss , organ size , pathology , Postoperative Complications , procedures , Uterine Diseases