The value of minilaparotomy for total hysterectomy for benign uterine disease: A comparative study with conventional Pfannenstiel and laparoscopic approaches

Royo, Pedro; Alcázar, Juan Luis; García-Manero, Manuel; Olartecoechea, Begoña; López-Garcı́a, Guillermo

doi:10.1186/1755-7682-2-11

Cited by 12 publications

(7 citation statements)

References 10 publications

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“…Th e incision length of Ͻ 7 cm was used in this study. A few studies have reported MH technique with a smaller transverse incision of Ͻ 6 cm (Hoff man and Lynch 1998; Sharma et al 2004;Alcalde et al 2007;Royo et al 2009). Special instruments, such as a uterine manipulator and a unique self-retaining elastic abdominal retractor were essential.…”

Section: Discussionmentioning

confidence: 97%

“…It might be an alternative technique for patients who may have a relative contraindication to LH. Th e other advantages of minilaparotomy approach were absence of CO 2 pneumoperitoneum, good cosmetic result, short learning curve and low expense (Alcalde et al 2007;Royo et al 2009). Th e cost of the Alexis ® retractor is approximately equal to only one disposable trocar at our institute.…”

Section: Discussionmentioning

confidence: 99%

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Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

Sirisabya

Manchana

2013

Journal of Obstetrics and Gynaecology

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Hysterectomy is the most frequent gynaecological procedure carried out with either conventional (abdominal) or minimally invasive surgery (MIS). Despite the advantage of MIS compared with the conventional procedure, it requires extensive training and a long learning curve. Minilaparotomy hysterectomy is an alternative approach that needs no sophisticated and expensive equipment or training. The objective of this study was to compare the perioperative outcomes between minilaparotomy hysterectomy (MH) and laparoscopic hysterectomy (LH) in patients with benign gynaecological diseases. A significantly shorter operative time was obtained in MH. There was no significant difference in blood loss and perioperative complications. However, a higher intraoperative complication (two bladder injuries and one major blood loss) were observed in the LH. Early postoperative VAS pain scores and recovery time were insignificantly different between both groups. Overall patient satisfaction levels and satisfaction scores were found to be similar in both groups, without significant difference.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

Sirisabya

Manchana

2013

Journal of Obstetrics and Gynaecology

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“…It is a minimally invasive, feasible option, particularly in countries where laparoscopic hysterectomies are not available. In many reports, minilaparotomy hysterectomy has been compared to laparotomy and laparoscopic-assisted vaginal hysterectomy [12,13].…”

Section: Minilaparotomy Hysterectomymentioning

confidence: 99%

Sun beams on hysterectomies

2011

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Are hysterectomies still necessary in 2010 and why and how should they be performed? As every now and then a critical evaluation of routine surgical procedure is necessary, there it is: This review follows the "Perspectives on laparoscopic hysterectomy" by Michelle Nisolle (Gynecol Surg 7:105-107, 2010). Hysterectomies performed in the field of obstetrics and gynaecology until the nineteenth century had always a lethal end. In the twentieth century, they were perhaps too frequently performed whereas the twenty-first century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies have made the procedure more patient-friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies, and the vaginal approach is still the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery with multiple and single port entries. Laparoscopic and roboticassisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of menometrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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“…In many reports minilaparotomy hysterectomy has been compared to laparotomy and laparoscopic assisted vaginal hysterectomy. 15,16…”

Section: Which Techniques To Resect the Uterus In Malignant And Benigmentioning

confidence: 99%

Hysterectomy for Uterine Disease in 2010: From past to Future

Mettler

Sammur

Schollmeyer

2010

Clin Med�Insights�Reprod�Health

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Hysterectomies were unknown in the field of obstetrics and gynaecology until the 19th century. In the 20th century they were perhaps too frequently performed whereas the 21st century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies (MIS) have made the procedure more patient friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies and the vaginal approach is the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery. Laparoscopic and robotic-assisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of meno-metrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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The value of minilaparotomy for total hysterectomy for benign uterine disease: A comparative study with conventional Pfannenstiel and laparoscopic approaches

Abstract: Background: The aim of this paper is to review and compare the results obtained using the Pfannenstiel, laparoscopy and minilaparotomy approaches for total hysterectomy procedure in relation to benign uterine diseases.

Cited by 12 publications

References 10 publications

Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

Minilaparotomy vs laparoscopic hysterectomy for benign gynaecological diseases

Sun beams on hysterectomies

Hysterectomy for Uterine Disease in 2010: From past to Future

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