| Autor: |
Jvan Casarin, Fabio Ghezzi, Marco Dri, Vincenzo Granato, Antonio S. Laganà, Andrea L. Ambrosoli, Antonella Cromi |
| Přispěvatelé: |
Casarin, Jvan, Ghezzi, Fabio, Dri, Marco, Granato, Vincenzo, Laganà, Antonio S, Ambrosoli, Andrea L, Cromi, Antonella |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Popis: |
Objectives: Laparoscopic subtotal hysterectomy (LSH) is a possible treatment for patients with benign uterine disease. Once the hysterectomy has been completed, morcellation and extraction of the corpus uteri is a crucial step of the procedure. We here present a case series to evaluate the feasibility of the in-bag transvaginal specimen retrieval following LSH. Study design: We report a case series of consecutive patients who underwent LSH followed by in-bag transvaginal specimen retrieval. LSH was accomplished in a standard fashion. Once the uterus was detached from the cervix, a 2cm posterior colpotomy was performed laparoscopically with a monopolar hook under direct view to insert a specimen retrieval bag into the abdomen. The corpus uteri was placed into the bag and transvaginal contained manual morcellation was performed. The colpotomy was then sutured transvaginally. Baseline patients' characteristics and surgical data were collected. Postoperative complications, same-hospital readmissions, and reoperations were registered if occurred within 30days from surgery. Results: Patients' median age and BMI were 45,5 and 22,7, respectively. Median operative time was 71.5min (range 34-143) and uterus weight ranged from 60g to 470g (median 210g). The estimated blood loss was 100mL (median) and no blood transfusion was required. No conversions to open surgery, nor intraoperative complications occurred. Median hospital stay was 2days (1-3) and no postoperative complications within 30days from surgery were recorded. Conclusions: LSH followed by in-bag transvaginal specimen extraction is a promising technique and might be considered a reliable and safe option to further reduce the invasiveness of the procedure. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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