The Evaluation Of Total Laparoscopic Hysterectomy Patients
OSMAN BALCI
- Year : 2014
- Vol : 30
- Issue : 3
- Page :
123-125
The aim of this prospective study is to evaluate the results
of our total laparoscopic hysterectomy (TLH) cases. Forty one
patients underwent TLH due to benign or malign disorders were
reviewed prospectively between January 2013 and April 2014.
Rigid instruments 10 mm telescope, and advanced bipolar energy
modalities were used during the procedure. A primary 10-mm trocar
was inserted directly through a 1-cm sub umbilical incision. The
laparoscope was inserted through this trocar after insufflation of the
abdominal cavity with 3–4 L of CO2. The second and third incisions
were performed in the avascular right and left lower quadrant of the
abdomen and two ancillary 5-mm trocars were inserted through these
incisions. Uterine manipulation was performed by using RUMI® II.
During the removal of the specimen, if necessary, intracorporeal
myomectomy and morcellation were performed before the uterus
and ovaries were delivered intact through the vagina. A 0-Vicryl
suture was used for close the vaginal cuff. The sutures were passed
through the left and right uterosacral and cardinal ligaments in
all patients. All procedures were performed by the same surgeon.
The mean age of the cases, body mass indexes (BMI), duration of
operations, the amounts of blood loss, rates of complications and
post operative hospital stay were assessed. The indications of for
hysterectomies were, 16 myoma uteri, 6 medical treatment-resistant
abnornal uerine bleeding, 5 benign ovarian cyst, 4 adenomyozis, 3
myoma uteri+ovarian cyst, 2 endometrial polyp, 2 endometrioma, 2
endometrial hyperplasia and 1 early stage cervical cancer. The mean
age of patients were 47.5 (30-68 years), mean BMI of patients were
30.2 (24-44), mean specimen weight was 215.9 (90-650 gr), mean
operation duration was 107.9 (60-210 min), mean blood loss was 81.1
(30-300 ml), mean preoperative hemoglobin (Hb) was 12.5±0.9 gr/
dl, mean postoperative Hb was 11.5±0.8, and the mean hospital stay
was 2.5 (2-4 days). There were no intraoperative complications. Late
postoperative complication was vaginal vault infection in 2 cases.
Total laparoscopic hysterectomy is safe and feasible method for
gynecological diseases. Careful selection of patients is critical for
obtaining the best results.
Cite this Article As :
Balcı O.Total Laparoskopik Histerektomi Olgularımızın Değerlendirilmesi.Selcuk Med J2014;30(3): 123-125
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Description :
None of the authors, any product mentioned in this article,
does not have a material interest in the device or drug. Research,
not supported by any external organization.
grant full access to the primary data and, if requested by the magazine
they agree to allow the examination of data.
The Evaluation Of Total Laparoscopic Hysterectomy Patients
2014,
Vol.
30
(3)
Received : 05.05.2014,
Accepted : 05.05.2014,
Published Online : 13.08.2018
Selçuk Tıp Dergisi
ISSN:1017-6616;
E-ISSN:2149-8059;