دورية أكاديمية
Facilitating method for removal of the large uterus after laparoscopic hysterectomy: Vaginal vault vertical incision.
| العنوان: | Facilitating method for removal of the large uterus after laparoscopic hysterectomy: Vaginal vault vertical incision. |
|---|---|
| المؤلفون: | Karaca İ; Department of Obstetrics and Gynecology, İzmir Bakircay University, İzmir, Turkey., Demirayak G; Department of Obstetrics and Gynecology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey., Öztürk E; Department of Obstetrics and Gynecology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey., Adıyeke M; Department of Obstetrics and Gynaecology, Health Sciences University Tepecik Education and Research Hospital, Izmir, Turkey., Hamdi İnan A; Department of Obstetrics and Gynaecology, Health Sciences University Tepecik Education and Research Hospital, Izmir, Turkey., Karaca SY; Department of Obstetrics and Gynaecology, Health Sciences University Tepecik Education and Research Hospital, Izmir, Turkey. Electronic address: drsunayildirimkaraca@gmail.com. |
| المصدر: | Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2023 Feb; Vol. 52 (2), pp. 102530. Date of Electronic Publication: 2022 Dec 29. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Masson SAS Country of Publication: France NLM ID: 101701588 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2468-7847 (Electronic) Linking ISSN: 24687847 NLM ISO Abbreviation: J Gynecol Obstet Hum Reprod Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Paris : Elsevier Masson SAS, [2017]- |
| مواضيع طبية MeSH: | Colpotomy* , Laparoscopy*/methods, Female ; Pregnancy ; Humans ; Uterus/surgery ; Hysterectomy/adverse effects ; Hysterectomy/methods |
| مستخلص: | Background: In patients with a large uterus, an important part of the laparoscopic hysterectomy operation time is the phase of removing the uterus from the abdomen.The development of techniques that will shorten the morcellation time is the key to reducing the total operation time. Aim: To evaluate the effect of vaginal cuff vertical incision in accelerating removal of the large uterus in laparoscopic hysterectomy. Methods: This study was performed with patients who underwent total laparoscopic hysterectomy. In the study group, a vertical incision was performed in the middle of the posterior vaginal stump before the vaginal removal of the larger uterus (weighing more than 500 g). The control group consisted of patients who underwent vaginal morcellation after conventional colpotomy. Patients in both groups were matched in terms of uterine weights +/-50 g and the same vaginal morcellation technique was applied to all patients. Results: In patients who underwent a vertical incision procedure, the time to remove the uterus from the abdomen (17.55±2.53 min vs 26.62±4.72 min, p<0.001) and the total operation time (130.81±12.83 min vs.143.29±13, 15 min, p = 0.001) was statistically significantly less than the patients without vertical incision. There was no difference between the groups in terms of intraoperative complications, drop in hemoglobin levels, time to flatus, postoperative 6th,24th hour visual analog score and length of hospital stay. Conclusions: The vertical incision procedure reduces the time to remove the large uterus from the abdomen after laparoscopic hysterectomy and, accordingly, the total operation time. This procedure may be the preferred method before vaginal morcellation, especially in large uterus. Competing Interests: Declaration of Competing Interest The authors have declared that they have no conflicts of interests in connection with this article. (Copyright © 2022 Elsevier Masson SAS. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Large uterus; Surgical technique; Total laparoscopic hysterectomy; Vaginal morcellation |
| SCR Disease Name: | Uterine Anomalies |
| تواريخ الأحداث: | Date Created: 20230101 Date Completed: 20230130 Latest Revision: 20230202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jogoh.2022.102530 |
| PMID: | 36587738 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2468-7847 |
|---|---|
| DOI: | 10.1016/j.jogoh.2022.102530 |