In-bag power morcellation technique in single-port laparoscopic myomectomy
| العنوان: | In-bag power morcellation technique in single-port laparoscopic myomectomy |
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| المؤلفون: | Hyun Jin Lee, Jee Whan Kim, Yong Jae Lee, Kyung Jin Eoh, Young Bin Won, Sang Wun Kim, Seon Hee Park, Jung Yoon Lee, Young Shin Chung, Sunghoon Kim, Young Tae Kim, Eun Ji Nam |
| المصدر: | Obstetrics & Gynecology Science Obstetrics & Gynecology Science, Vol 61, Iss 2, Pp 267-273 (2018) |
| بيانات النشر: | Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Visual analogue scale, Laparoscopic myomectomy, Morcellation, lcsh:Gynecology and obstetrics, 03 medical and health sciences, 0302 clinical medicine, Port (medical), Blood loss, Minimally invasive surgical procedures, Occult malignancy, Medicine, 030212 general & internal medicine, Laparoscopy, lcsh:RG1-991, 030219 obstetrics & reproductive medicine, medicine.diagnostic_test, business.industry, Obstetrics and Gynecology, Perioperative, Surgery, Myomectomy, Median body, Original Article, General Gynecology, business |
| الوصف: | Objective This study introduces and evaluates the feasibility, safety, and surgical outcomes of the in-bag power morcellation technique during single-port assisted (SPA) laparoscopic myomectomy in comparison with manual scalpel morcellation. Methods This is a retrospective review of a total of 58 patients who underwent SPA laparoscopic myomectomy employing in-bag power morcellation (n=27) or manual scalpel morcellation (n=31), performed between December 2014 and December 2016. Surgical outcomes, including total operation time, estimated blood loss, postoperative hemoglobin changes, postoperative hospital stay, postoperative pain (visual analog scale), perioperative and postoperative complications were evaluated. Results The demographics and patient characteristics were similar between both groups. The median patient age was 34 years and median body mass index was 20.84 kg/m2. The median specimen weight was 110 g. The median operating time was 138 minutes. The median estimated blood loss was 50 mL and the median postoperative hemoglobin change was 2.2 g/dL. The median postoperative hospital stay was 2 days and the median postoperative pain scores were 5 after 6 hours, 3 after 24 hours, and 2 after 48 hours. Occult malignancy was not identified in any patients. There were no intraoperative complications such as LapBag ruptures or gross spillage. Conclusion In-bag power morcellation for SPA laparoscopic myomectomy is feasible and safe, minimizing the risks of open power morcellation. There were also no statistically significant differences in surgical outcomes. |
| اللغة: | English |
| تدمد: | 2287-8580 2287-8572 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5f77963e5bf73bbad371d0f1d58fd5d3 http://europepmc.org/articles/PMC5854908 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....5f77963e5bf73bbad371d0f1d58fd5d3 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22878580 22878572 |
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