Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy
| Autor: | Cigdem Karas, Zekeriya Güner, Mert Göl, A Güclü, Merve Bicer |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Operative Time Uterus Blood Loss Surgical Hysterectomy Cohort Studies Hemoglobins Blood loss medicine Operating time Humans Laparoscopy Large uterus Ligation Uterine Diseases medicine.diagnostic_test business.industry Laparoscopic hysterectomy Obstetrics and Gynecology Vessel sealing Organ Size Middle Aged Intraoperative Hemorrhage Surgical Instruments Surgery Uterine Artery medicine.anatomical_structure Reproductive Medicine Female business |
| Zdroj: | Clinical and experimental obstetricsgynecology. 43(6) |
| ISSN: | 0390-6663 |
| Popis: | OBJECTIVE To compare intraoperative hemorrhage and other operative parameters between patients with large and small weighted uterus who underwent laparoscopic hysterectomy (LH). MATERIALS AND METHODS Forty-six patients intending to have LH were divided into two groups according to uterine weight (group 1 > 300 grams vs. group 2 < 299 grams). Intraoperative blood loss, operating time, periopera- tive complications, and duration of hospitalization were compared. RESULTS Intraoperative blood loss was significantly higher in the large uterus group (group 1); 350 (227-454) ml vs. 250 (182-320) ml (p < 0.001). However, it was not significantly different between the groups in the laparoscopy step. Mean operating time was 90 (77-103) minutes and 80 (62-98) minutes in groups 1 and 2, respectively (p < 0.001) revealing ten-minute delay in group 1. Similarly, this was also not significantly different in the laparoscopy step. No significant differences were found between two groups; in terms of hemoglobin concentration decrease, major and minor complications, and hospitalization duration. CONCLUSION The authors conclude that LigaSure can be safely used for LH in patients with a large uterus. |
| Databáze: | OpenAIRE |
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