Total laparoscopic hysterectomy (TLH) versus coagulation of uterine arteries (CUA) at their origin plus total laparoscopic hysterectomy (TLH) for the management of myoma and adenomyosis

Autor:	Hun-Shan Pan, Jier-Zen Chang, Lee-Wen Huang, Ma-Lee Ko, Su-Chee Chen, Jiann-Loung Hwang
Rok vydání:	2008
Předmět:	Study groups medicine.medical_specialty Time Factors Blood Loss Surgical Endometriosis Uterus Total laparoscopic hysterectomy Hysterectomy Hemoglobins Postoperative Complications Blood loss medicine Humans Adenomyosis Prospective Studies Gynecology Leiomyoma business.industry Myoma Arteries Organ Size Middle Aged medicine.disease Hemostasis Surgical medicine.anatomical_structure Hemostasis Uterine Neoplasms Female Laparoscopy Surgery business
Zdroj:	Minimally Invasive Therapy & Allied Technologies. 17:318-322
ISSN:	1365-2931 1364-5706
Popis:	We tried to evaluate the relative feasibility, surgical duration and complications of total laparoscopic hysterectomy (TLH) versus coagulation of uterine arteries at their origin (CUA) plus total laparoscopic hysterectomy for the management of myoma and adenomyosis, and to compare the estimated blood loss for both procedures. A total of 123 patients underwent TLH or CUA plus TLH for the treatment of symptomatic myoma and adenomyosis. Sixty-four women underwent TLH, whilst 68 women underwent coagulation of uterine arteries at their origin plus TLH. The mean weight and volume of the uterus as determined following TLH was 288.1+/-102.4 gm (range 182.1 approximately 396.2 gm.) and 451+/-340.6 cm(3) (range 107.4 approximately 792), respectively. The mean weight of the uterus following CUA plus TLH was 269.1+/-151.7 gm (range 215.8 approximately 430.1) whilst the mean uterine volume was 472.7+/-377.8 cm(3) (range 93.7 approximately 851.2). No significant differences with respect to surgical duration (95 vs. 96.5 minutes TLH vs. CUA + TLH; p>0.05), blood loss (177.2+/-80.1 ml for TLH and 154.9+/-30.21 ml for CUA+TLH; p>0.05) and mean+/-SD preoperative (12.05+/-1.70 gm/dl for TLH and 12.14+/-1.38 gm/dl for CUA+TLH; p>0.05) and post-operative hemoglobin level (11+/-1.03 for TLH and 11+/-1.49 for CUA + TLH; p>0.05) were observed between the two study groups. The blood loss for TLH is comparable to that for the CUA plus TLH procedure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5852e15bcff7c04ebc823f2946c42050 https://doi.org/10.1080/13645700802274588 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.