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Total laparoscopic hysterectomy via suture and ligation technique
Article ي En | WPRIM | ID: wpr-180145
المكتبة المسؤولة: WPRO
ABSTRACT

OBJECTIVE:

The term 'total laparoscopic hysterectomy (TLH) with classical suture method' refers to a surgical procedure performed using only sutures and ligations with intracorporeal or extracorporeal ties, without using any laser or electronic cauterization devices during laparoscopic surgery as in total abdominal hysterectomy. However, the method is not as widely used as electric coagulation equipment for TLH because further advances in technology and surgical technique are required and operative time can take longer. In the current study, we evaluated the benefits of the classical suture method for TLH.

METHODS:

This study retrospectively reviewed patients who received TLH using the classical suture method from August 2005 to April 2014. The patients' baseline characteristics were analyzed, including age, parity, cause of operation, medical and surgical history. Surgical outcomes analyzed included the weight of the uterus, operative time, complications, changes in hemoglobin level, blood transfusion requirements, and postoperative hospital stay.

RESULTS:

Of 746 patients who underwent TLH with the classical suture method, mean operation time was 96.9 minutes. Mean average decline in hemoglobin was 1.6 g/dL and transfusion rate was 6.2%. Urinary tract injuries were reported in 8 patients. Urinary tract injuries comprised 6 cases of bladder injury and 3 cases of ureter injury. There were no cases of vaginal stump infection, hematoma, bowel injury or abdominal wound complication. All cases involving complications occurred before 2010.

CONCLUSION:

The classical suture method for TLH presents tolerable levels of complications and blood loss. Advanced surgical skill is expected to decrease operation time and complications.
الموضوعات
Key words
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Parity / Sutures / Ureter / Urinary Tract / Uterus / Wounds and Injuries / Urinary Bladder / Blood Transfusion / Cautery / Retrospective Studies نوع الدراسة: Observational_studies المحددات: Female / Humans اللغة: En مجلة: Obstetrics & Gynecology Science السنة: 2016 نوع: Article
النص الكامل: 1 الفهرس: WPRIM الموضوع الرئيسي: Parity / Sutures / Ureter / Urinary Tract / Uterus / Wounds and Injuries / Urinary Bladder / Blood Transfusion / Cautery / Retrospective Studies نوع الدراسة: Observational_studies المحددات: Female / Humans اللغة: En مجلة: Obstetrics & Gynecology Science السنة: 2016 نوع: Article