Total laparoscopic hysterectomy via suture and ligation technique
Obstetrics & Gynecology Science
; : 39-44, 2016.
Article
em En
| WPRIM
| ID: wpr-180145
Biblioteca responsável:
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.Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Paridade
/
Suturas
/
Ureter
/
Sistema Urinário
/
Útero
/
Ferimentos e Lesões
/
Bexiga Urinária
/
Transfusão de Sangue
/
Cauterização
/
Estudos Retrospectivos
Tipo de estudo:
Observational_studies
Limite:
Female
/
Humans
Idioma:
En
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2016
Tipo de documento:
Article
País de publicação:
COREA DEL SUR
/
COREIA DO SUL
/
KR
/
SOUTH KOREA