Combined approach of laparoscopic and open surgery for complex renal lesions

Palou, Joan; Oliveira, Maria Manuel; Pardo, Pablo; Peña, José A.; Rodríguez, Ó.; Rosales, Antonio; Villavicencio, H.

doi:10.1016/j.acuroe.2012.06.004

Cited by 1 publication

(1 citation statement)

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“…Research on combined surgeries from other specialties indicates that a combined approach enhanced their surgical outcomes. 7,8 However, similar reports are absent from the gynecologic literature. We believe this report is the first to document a substantial case series with a laparoscopic/ vaginal approach utilizing two separate surgeons.…”

Section: Discussionmentioning

confidence: 97%

Surgical Outcomes of a Combined Surgical Approach for Apical Prolapse Repair

Brito

Cohen

Tusheva

et al. 2016

Rev Bras Ginecol Obstet

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Introduction We aimed to evaluate the safety, efficacy and surgical outcomes of combined laparoscopic/vaginal prolapse repair by two surgeons. Material and Methods A retrospective chart review of all patients (n = 135) who underwent apical prolapse repair from February 2009 to December 2012 performed in a collaborative manner by a Minimally Invasive Gynecologic Surgeon and a Urogynecologist. Demographic data (age, body mass index [BMI], race, gravidity, parity) and surgical information (estimated blood loss, operative time, intraoperative complications, readmission and reoperation rates, presence of postoperative infection) were collected. Results The majority of patients were postmenopausal (58.91%), multiparous (mean parity = 2.49) and overweight (mean BMI = 27.71). Nearly 20% had previous prolapse surgery. The most common surgical procedure was laparoscopic supracervical hysterectomy (LSH) with sacrocervicopexy (59.26%), and the most common vaginal repair was of the posterior compartment (78.68%). The median operative time was 149 minutes (82-302), and the estimated blood loss was 100 mL (10-530). Five intra-operative complications, five readmissions and four reoperations were noted. Performance of a concomitant hysterectomy did not affect surgical or anatomical outcomes. Conclusion Combination laparoscopic/vaginal prolapse repair by two separate surgeons seems to be an efficient option for operative management.

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Section: Discussionmentioning

confidence: 97%