Advances on minimally invasive approach for benign total hysterectomy: a systematic review

Andres, Marina Paula; Borrelli, Giuliano Moysés; Abrão, Maurício Simões

doi:10.12688/f1000research.11523.1

Cited by 9 publications

(11 citation statements)

References 13 publications

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“…In a study by Simpson et al, it is underlined that there were differences regarding the opinions on the benefits of robotic surgery between the users and the literature [19]. In an article by Andres et al, robotic surgery in benign uterine diseases was not found to be superior to other classic methods [20].…”

Section: Discussionmentioning

confidence: 99%

Gynaecological robotic surgery at a state hospital — our own experience

Kadıoğlu

Kumtepe

Baran³

2018

Ginekol Pol

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Objectives: In recent years, the rapid development of minimally invasive surgical methods, including robotic surgery, has resulted in a marked decline of the traditional methods in gynaecological surgery. The aim of the study was to share our experience with robotic surgery at a state hospital. Material and methods: A total of 40 patients, who underwent robotic gynaecological surgery (GS) between 2015 and 2017, were included. Age, BMI, previous abdominal operations (PAO), operation indications (OI), operative time (OT), pathological evaluation, uterine weight (UW), blood loss during surgery (BL), complications, and duration of the hospitalization (DoH) were analyzed. The Da Vinci XI was used during surgery. Results: A total of 40 patients were analyzed. Mean values were as follows: age-48 years, BMI-28, and PAO-12%. The most common OI included uterine fibroids (52%) and abnormal uterine bleeding (45%). Mean OT, docking time and console time values were 166 min, 15 min, and 123 min, respectively. Mean BL was 93 mL. Mean UW was 256 gr, and DoH was 4 days. Perioperative and postoperative complications were observed in 10% and 20% of the cases, respectively. Conclusions: Robotic-assisted surgery is invaluable in gynaecology, especially in the case of endometriosis, extensive adhesion, and in some oncological patients, as it allows for better visualization and higher maneuverability. In order for a surgeon to prepare for such cases, the use of the robot in benign cases is necessary to complete the learning curve and gain speed.

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Section: Discussionmentioning

confidence: 99%

Gynaecological robotic surgery at a state hospital — our own experience

Kadıoğlu

Kumtepe

Baran³

2018

Ginekol Pol

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“…Furthermore, in the most conclusive studies the recommendations for deciding on what is the best approach are based on health outcomes and healthcare costs without taking into account indirect costs, which should be an important fact for decision making. 2,3,15 To our knowledge, this study represents the most expansive analysis of costs associated with LH and VH for benign disease. Most comparative studies on hysterectomy are based on hospitalization cost 8,16,17 and the most important contribution of this study is the consideration of the indirect cost mainly represented by transport and lostwork-productivity costs.…”

Section: Introductionmentioning

confidence: 99%

Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy

Martínez-Maestre

Jódar-Sánchez

Calderón-Cabrera

et al. 2022

JSLS

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Background and Objectives: The aim of this study was to analyze indirect costs of vaginal and laparoscopic routes for hysterectomy to determine whether this makes a difference in total costs when considering route for surgery.Methods: A five-year observational retrospective cohort study was conducted in an academic tertiary care center. A total of 517 patients scheduled for total laparoscopic hysterectomy (n = 137) and vaginal hysterectomy (n = 380) for benign conditions between January 1, 2008 and December 31, 2012 meeting inclusion criteria were reviewed.Results: Indirect costs were higher in the vaginal hysterectomy group compared to the laparoscopic hysterectomy group (mean cost e3,239.86 vs. e1,371.58; cost increase of e1,868.28; p < .001). Indirect costs due to lostwork-productivity were the most important, represented by 97.7% in the vaginal group and 93.6% in the laparoscopic group.Conclusion: Among women undergoing hysterectomy for benign disease, laparoscopic hysterectomy appears to be superior to vaginal hysterectomy when indirect costs are analyzed in a five-year temporal horizon. Laparoscopic hysterectomy is a good alternative to vaginal hysterectomy when technically feasible as both present comparable advantages. The surgical approach to hysterectomy should be decided in light of the relative benefits and hazards, which will depend on clinical circumstances and surgical expertise.

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“…Hysterectomy for patients with uterine leiomyomas is one of the most common gynecological surgeries [ 1 ], and all gynecologists in local private clinics and major regional or university hospitals often encounter these patients. Recently, less invasive technologies, including laparoscopic hysterectomy and other cutting-edge methods, have come to be the mainstream treatments [ 2 ]; however, the hard and soft capacities required are not necessarily available in all hospitals.…”

Section: Introductionmentioning

confidence: 99%

Utility of a minimal skin incision technique for abdominal hysterectomy at a regional core hospital: a retrospective study

Isono

Maruyama

2021

J Med Case Reports

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Background We present a minimal skin wound abdominal hysterectomy for patients with leiomyomas and describe the characteristics of this technique. The skin wound was made as small as possible, with a maximum length of 6 cm. Methods In addition to introducing minimal skin wound abdominal hysterectomy, we retrospectively analyzed the medical records of 82 patients treated with minimal skin wound abdominal hysterectomy exclusively by two experts at Maruyama Memorial General Hospital between January 2013 and December 2016. Relationships between the leiomyoma characteristics and the difficulty of this operation, as estimated by operation time and blood loss, were statistically investigated. Results First, we introduce a case in which we performed minimal skin wound abdominal hysterectomy on a 46-year-old Japanese patient with multiple leiomyomas (maximum 8 cm in diameter). Then, we assessed the impacts of the leiomyoma characteristics on the difficulty of this operation. On multivariate analysis, the number of leiomyomas significantly affected operation difficulty. Other characteristics of the target leiomyoma showed no effect. Additionally, higher body mass index also made the operation more difficult. Conclusions Although multiple leiomyomas can make this procedure difficult, minimal skin wound abdominal hysterectomy is safe and effective for use in many cases.

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Advances on minimally invasive approach for benign total hysterectomy: a systematic review

Cited by 9 publications

References 13 publications

Gynaecological robotic surgery at a state hospital — our own experience

Gynaecological robotic surgery at a state hospital — our own experience

Healthcare and Indirect Cost of the Laparoscopic vs. Vaginal Approach in Benign Hysterectomy

Utility of a minimal skin incision technique for abdominal hysterectomy at a regional core hospital: a retrospective study

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