RESUMO
OBJECTIVE: To evaluate the feasibility of laparoscopic supracervical hysterectomy (LSH) by single port access (SPA) with transcervical morcellation. STUDY DESIGN: Observational study conducted between September 2010 and March 2012 in two departments of Gynaecology. Forty women who required hysterectomy underwent LSH by SPA with transcervical morcellation. RESULTS: LSH by SPA with transcervical morcellation was completed successfully in 37/40 (93.5 %) patients. Mean operating time was 128 (±55) min and mean hospital stay was 3.5 (±1) days. The mean of uterus weight was 310 (±214) g. The mean estimated blood loss was 250 (±110) ml. Four women (10 %) required a second surgical intervention including two cases of endocervical bleeding. CONCLUSION: LSH by SPA with transcervical morcellation is a feasible procedure.
Assuntos
Histerectomia/métodos , Laparoscopia/métodos , Leiomioma/cirurgia , Adulto , Estudos de Viabilidade , Feminino , França , Humanos , Tempo de Internação , Pessoa de Meia-Idade , Duração da Cirurgia , Tamanho do Órgão , Resultado do Tratamento , Neoplasias Uterinas/cirurgiaRESUMO
With earlier diagnosis and more effective treatments, more and more women are receiving fertility-preserving cancer therapy. Approximately 10% of breast and gynecological cancers occur in women under 40, and more than 5 000 French women under 45 develop breast cancer each year. While hormonal contraception is contra-indicated for women with a history of breast or endometrial cancer, it seems to have a protective effective in ovarian cancer. Although pregnancy is not contra-indicated after cancer, it must be planned in a timely manner, meaning that appropriate contraception is necessary in the meantime.