Evaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses

dc.contributor.authorTerzi, Hasan
dc.contributor.authorHasdemir, Pinar Solmaz
dc.contributor.authorBiler, Alper
dc.contributor.authorKale, Ahmet
dc.contributor.authorSendag, Fatih
dc.date.accessioned2023-02-21T12:36:48Z
dc.date.available2023-02-21T12:36:48Z
dc.date.issued2016-01-01
dc.description.abstractObjective: The aim of this study was to investigate whether uterine weight has a deleterious effect on the operation time, complication rates, length of hospital stay and incidence of intraoperative haemorrhage during total laparoscopic hysterectomy operation. Methods: A total of 282 patients who underwent total laparoscopic hysterectomy for benign gynaecologic indications were retrospectively analyzed. The median operation time of 70 min was accepted as an index number, and a cut-off point of >= 300 g was calculated for uterine weight by using reciever operator characteristics (ROC) curve analysis. Results: There was no statistically significant relationship between the uterine weight and haemoglobin drop rate (1.27 +/- 0.89 vs 1.21 +/- 0.88, p = 0.905), complication rate (10.83\% vs 9.26\%, p = 0.062) and length of hospital stay (3.27 +/- 1.23 vs 3.37 +/- 1.35 days, p = 0.505) based on this cut. Lee-Huang point was preferred for abdominal entry in cases with uteruses reached the level of umbilicus -2 cm in physical examination. Conclusions: Uterine weight was not effected the complication rate, estimated blood loss and length of hospital stay in total laparoscopic hysterectomy operation. A cut-off value of 300 g could be used for an increased operation time. (C) 2016 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
dc.description.issueA
dc.description.issueDEC
dc.description.pages90-95
dc.description.volume36
dc.identifier.doi10.1016/j.ijsu.2016.10.024
dc.identifier.urihttps://hdl.handle.net/11443/2152
dc.identifier.urihttp://dx.doi.org/10.1016/j.ijsu.2016.10.024
dc.identifier.wosWOS:000396458700018
dc.publisherELSEVIER SCIENCE BV
dc.relation.ispartofINTERNATIONAL JOURNAL OF SURGERY
dc.subjectComplications
dc.subjectLaparoscopy
dc.subjectLarge uterus
dc.subjectTotal laparoscopic hysterectomy
dc.subjectUterus weight
dc.titleEvaluation of the surgical outcome and complications of total laparoscopic hysterectomy in patients with enlarged uteruses
dc.typeArticle

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