Removal of 1300-g Uterus by Laparoscopic Hysterectomy with Retroperitoneal Uterine Artery Sealing Using LigaSure™

Göl, Mert; Kizilyar, Ayşen

doi:10.1089/lap.2007.0218

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…However, we do not consider large uterine size to be a contraindication for TLH. In our study the largest uterus weighed 750 g, but laparoscopic hysterectomy of a 1,300 g uterus has been reported [31]. This suggests that TLH may be applied safely in patients with a large uterus, but as in patients with a large BMI, surgical dissection and coagulation of the uterine arteries must be performed with particular care.…”

Section: Discussionmentioning

confidence: 61%

Laparoscopic type 7 total hysterectomy and adnexectomy with or without Burch colposuspension: operative technique with the LigaSure device and results

Sürgit

Gümüş

Derbent

et al. 2011

Arch Gynecol Obstet

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Section: Discussionmentioning

confidence: 61%

Laparoscopic type 7 total hysterectomy and adnexectomy with or without Burch colposuspension: operative technique with the LigaSure device and results

Sürgit

Gümüş

Derbent

et al. 2011

Arch Gynecol Obstet

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“…New energy modalities may be valuable supports to achieve this goal. In a previous study the present authors have shown that LigaSure vessel sealing system is a safe energy modality in securing uterine arteries at LH [3]. However, the aforementioned studies do not represent the safety of LigaSure in patients with the large uterus.…”

Section: Introductionmentioning

confidence: 66%

“…In the present study the authors secured uterine arteries at their entry into the uterus with LigaSure V mm (Figure 1). This technique was different from our previous study in which uterine arteries were secured retroperitoneally [3]. In the vaginal part of the operation, LigaSureVmax was used.…”

Section: Methodsmentioning

confidence: 96%

Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy

Biçer¹,

Guner²,

Karas³

et al. 2016

Clin. Exp. Obstet. Gynecol.

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Objective: To compare intraoperative hemorrhage and other operative parameters between patients with large and small weighted uterus who underwent laparoscopic hysterectomy (LH). Materials and Methods: Forty-six patients intending to have LH were divided into two groups according to uterine weight (group 1 > 300 grams vs. group 2 < 299 grams). Intraoperative blood loss, operating time, perioperative complications, and duration of hospitalization were compared. Results: Intraoperative blood loss was significantly higher in the large uterus group (group 1); 350 (227-454) ml vs. 250 (182-320) ml (p < 0.001). However, it was not significantly different between the groups in the laparoscopy step. Mean operating time was 90 (77-103) minutes and 80 (62 -98) minutes in groups 1 and 2, respectively (p < 0.001) revealing ten-minute delay in group 1. Similarly, this was also not significantly different in the laparoscopy step. No significant differences were found between two groups; in terms of hemoglobin concentration decrease, major and minor complications, and hospitalization duration. Conclusion: The authors conclude that LigaSure can be safely used for LH in patients with a large uterus.

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Removal of 1300-g Uterus by Laparoscopic Hysterectomy with Retroperitoneal Uterine Artery Sealing Using LigaSure™

Cited by 2 publications

References 5 publications

Laparoscopic type 7 total hysterectomy and adnexectomy with or without Burch colposuspension: operative technique with the LigaSure device and results

Laparoscopic type 7 total hysterectomy and adnexectomy with or without Burch colposuspension: operative technique with the LigaSure device and results

Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy

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