Evaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses

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dc.contributor.authorTerzi H.
dc.contributor.authorHasdemir P.S.
dc.contributor.authorBiler A.
dc.contributor.authorKale A.
dc.contributor.authorSendag F.
dc.date.accessioned2024-07-22T08:11:17Z
dc.date.available2024-07-22T08:11:17Z
dc.date.issued2016
dc.description.abstractObjective 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
dc.identifier.DOI-ID10.1016/j.ijsu.2016.10.024
dc.identifier.issn17439191
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15573
dc.language.isoEnglish
dc.publisherElsevier Ltd
dc.subjectAdult
dc.subjectBlood Loss, Surgical
dc.subjectFemale
dc.subjectHumans
dc.subjectHysterectomy
dc.subjectLaparoscopy
dc.subjectLength of Stay
dc.subjectMiddle Aged
dc.subjectOperative Time
dc.subjectOrgan Size
dc.subjectPostoperative Complications
dc.subjectRetrospective Studies
dc.subjectUterine Diseases
dc.subjecthemoglobin
dc.subjectadult
dc.subjectArticle
dc.subjectbladder injury
dc.subjectdevice infection
dc.subjectendometrium hyperplasia
dc.subjectfemale
dc.subjecthernia
dc.subjecthuman
dc.subjecthysterectomy
dc.subjectintestine injury
dc.subjectlaparoscopic surgery
dc.subjectlength of stay
dc.subjectmajor clinical study
dc.subjectmiddle aged
dc.subjectoperation duration
dc.subjectoperative blood loss
dc.subjectoutcome assessment
dc.subjectpelvic pain
dc.subjectperoperative complication
dc.subjectphysical examination
dc.subjectpostoperative ileus
dc.subjectpredictive value
dc.subjectpriority journal
dc.subjectretrospective study
dc.subjecttrocar
dc.subjectumbilicus
dc.subjectureter injury
dc.subjectuterus bleeding
dc.subjectuterus myoma
dc.subjectuterus prolapse
dc.subjectuterus weight
dc.subjectvagina disease
dc.subjectadverse effects
dc.subjecthysterectomy
dc.subjectlaparoscopy
dc.subjectlength of stay
dc.subjectoperation duration
dc.subjectoperative blood loss
dc.subjectorgan size
dc.subjectpathology
dc.subjectPostoperative Complications
dc.subjectprocedures
dc.subjectUterine Diseases
dc.titleEvaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses
dc.typeArticle

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