The comparison of outcomes between the 'skeleton uterus technique' and conventional techniques in laparoscopic hysterectomies
| Autor: | Gürkan Uncu, Oguzhan Yuruk, Adnan Orhan, Gokhan Ocakoglu, Isil Kasapoglu, Kemal Özerkan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Laparoscopic hysterectomy
medicine.medical_specialty 050402 sociology Uterus minimally invasive techniques lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine Ureter 0504 sociology Medicine lcsh:RG1-991 030219 obstetrics & reproductive medicine business.industry General surgery 05 social sciences Obstetrics and Gynecology Retrospective cohort study Skeleton (computer programming) Standard technique Skeleton uterus technique medicine.anatomical_structure Original Article University teaching business Complication |
| Zdroj: | Gynecology and Minimally Invasive Therapy, Vol 8, Iss 2, Pp 67-72 (2019) Gynecology and Minimally Invasive Therapy |
| ISSN: | 2213-3070 |
| Popis: | Aim: The aim of this study is to compare demographic characteristics, operative data, and complication rates of women who underwent total laparoscopic hysterectomy by the skeleton uterus technique (Skeleton-TLH) with those of women who underwent TLH by the standard technique (Standard-TLH) in a university teaching and research hospital. Materials and Methods: This retrospective study included 932 laparoscopic hysterectomies in a university teaching and research hospital between January 1, 2013 and December 31, 2017. Clinical characteristics, operative outcomes, and complications were recorded and compared for the two techniques. Results: In total, 932 laparoscopic hysterectomies were performed, 454 by Skeleton-TLH and 478 by Standard-TLH. The general demographic characteristics of the patients were similar; only gravida and parity were statistically significantly different between the groups (P < 0.001). Based on the primary outcomes (the operative data), total anesthesia time and main operation time were similar in the two groups. Estimated blood loss was statistically significantly lower in the Skeleton-TLH group than in the Standard-TLH group. Hospital stay was longer for the Skeleton-TLH group, and specimen weight was heavier. The secondary outcome was the complication rate. There were no differences between the Skeleton-TLH and Standard-TLH groups in the rates of all minor and major complications. Conclusion: TLH with the skeleton uterus technique is feasible and safe, especially for advanced pelvic surgeons. This technique not only provides retroperitoneal access to the pelvic spaces and good anatomical visibility; but it also delivers a safer laparoscopic hysterectomy by clamping the uterine arteries and monitoring the ureter throughout the operation. |
| Databáze: | OpenAIRE |
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