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

dc.contributor.authorTerzi H.
dc.contributor.authorHasdemir P.S.
dc.contributor.authorBiler A.
dc.contributor.authorKale A.
dc.contributor.authorSendag F.
dc.date.accessioned2025-04-10T11:08:59Z
dc.date.available2025-04-10T11:08:59Z
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.urihttp://hdl.handle.net/20.500.14701/48399
dc.publisherElsevier Ltd
dc.titleEvaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses
dc.typeArticle

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