Total Laparoscopic Hysterectomy Compared with Abdominal Hysterectomy in the Presence of a Large Uterus

Seracchioli, Renato; Venturoli, Stefano; Vianello, F.; Govoni, F.; Cantarelli, M; Gualerzi, B; Colombo, Filippo Maria

doi:10.1016/s1074-3804(05)60413-6

Cited by 67 publications

(30 citation statements)

References 16 publications

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“…9,11,25,31 The operating time in our series was similar to times reported in the literature. 9,11,16,17,32 Our results are similar to those reported to date, showing that TLH can be performed safely with shorter hospitalization. LH performed on an outpatient basis has been reported to be safe, well tolerated and cost effective, and is therefore advocated by some authors.…”

Section: Resultssupporting

confidence: 87%

“…Our data are similar to those reported elsewhere with respect to patient demographics, uterine size, operation time, and operative morbidity. [16][17] By reducing the amount of time spent as an inpatient, patients are exposed to fewer nosocomial infections, in theory decreasing the risk of iatrogenic infections. 6 TLH also could be performed successfully in most obese patients, [18][19] and operating room times are comparable to those of abdominal hysterectomies.…”

Section: Resultsmentioning

confidence: 99%

“…20 Some authors agree that TLH is safe and feasible in the presence of enlarged uteri. [21][22] There is another potential benefit of TLH using colpo-bulger is related to the preservation of pelvic tissue. Preservation of the uterosacral ligament may maintain vaginal innervations.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Begum

Zulfiqar²,

Yasmin³

2016

PULSE

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Objective: Aim of our study is to analyze the surgical outcome of total laparoscopic hysterectomy (TLH) in our patient perspective of Apollo Hospitals Dhaka.Methods: This is a retrospective, observational study where we have reviewed demographic data, intraoperative and postoperative outcomes, and morbidity data on 100 women who underwent TLH between January 2011 and December 2012.Results: Total 100 patients were studied. Among them five patient required conversion to laparotomy due to presence of severe adhesion. The major and minor complication rates were 2% (bladder injury-2 cases) and 0% respectively. The average operating time was 148 ± 40 minutes and the mean length of hospital stay was 3±1 day. The average uterine size was 10 ± 4 weeks. In our cases operating time and duration of hospital stay were very similar with lower procedural complications to other published data elsewhere.Conclusion: We have observed that TLH is a safe and acceptable alternative procedure to standard hysterectomy from the patients perspective at Apollo Hospital Dhaka.Pulse Vol.8 January-December 2015 p.21-29

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Section: Resultssupporting

confidence: 87%

Section: Resultsmentioning

confidence: 99%

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Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Begum

Zulfiqar²,

Yasmin³

2016

PULSE

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“…Several publications have reported that TLH can be performed in cases where patients have enlarged uteri [30,31]. However, in our study, uterine weight is a significant risk factor of conversion to laparotomy.…”

Section: Discussioncontrasting

confidence: 59%

Factors Determining Conversion to Laparotomy in Patients Undergoing Total Laparoscopic Hysterectomy

Park

Cho

Kim³

2010

Gynecol Obstet Invest

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Aims: To identify the risk factors determining conversion to laparotomy during total laparoscopic hysterectomy (TLH) for benign diseases. Methods: We retrospectively reviewed medical records of 288 patients that underwent TLH during the first 2 years of performing TLH at Kang-Nam Sacred Heart Hospital. Twenty-three cases were converted to laparotomy. We compared patient characteristics, indications for hysterectomy, operation time, estimated blood loss, adhesion, uterine weight and postoperative complications between failed and successful groups. Results: The rate of conversion to laparotomy was 8%. There were no differences in patient characteristics between the two groups. Independent risk factors for conversion were adhesion and uterine weight. The most common cause of the conversion to laparotomy was adhesions (p = 0.000). Uterine weight was found to be heavier in the failed group (331.5 ± 157.1 vs. 270.3 ± 132.5 g, p = 0.038). Estimated blood loss was greater in the failed group (455.6 ± 143.7 vs. 304.2 ± 45.8 ml, p = 0.047). Bladder injury occurred in the failed group more frequently than in the successful group (p = 0.024). Conclusion: An awareness of risk factors for conversion is important for better patient selection for TLH. Indirect measurement of uterine weight by sonography and detailed history taking is helpful in determining the appropriate hysterectomy route.

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“…The average operative time for the second 100 robotic cases is also lower than other published roboticassisted benign hysterectomy studies, which range from 127.8 to 254 min [15,16,18,20,21]. This reported time is also on par with [11,13,[27][28][29][30][31] or lower than [12,[32][33][34] operating times for abdominal hysterectomies (range 58-130 min). The average estimated blood loss of 68.8 cc included patients undergoing RALH plus adnexal surgery (BSO, USO) or other concomitant procedures (Table 1) and is lower than that reported in other robotic-assisted benign hysterectomy studies (range 78.6-98 cc) [15,18,20,21].…”

Section: Discussionmentioning

confidence: 80%

Robotically assisted hysterectomy: 100 cases after the learning curve

Payne

Dauterive

2010

J Robotic Surg

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To report on perioperative outcomes of robotic hysterectomy after the learning curve, we performed a retrospective review of our second 100 consecutive robotic hysterectomies performed by two surgeons between January 2007 and February 2008. Operative time following our learning curve was 79.3 ± 36.1 min. Patient age was 44.2 ± 9.6 years, body mass index (BMI) was 30.9 ± 8.3 kg/m(2), and uterine weight was 223.7 ± 195.8 g. Indications for surgery included fibroids, menstrual disorders, and endometriosis. We performed total robotic-assisted laparoscopic hysterectomy type IVE. There were no conversions, no blood transfusions, and one cystotomy, repaired intraoperatively. Blood loss was 68.8 ± 105.8 cc, and average length of stay was 1.1 ± 0.3 days. There were no postoperative complications. Perioperative outcomes demonstrate low average operative times with a high level of safety on a broadened patient population, suggesting a potential advantage to using the robotic platform.

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Total Laparoscopic Hysterectomy Compared with Abdominal Hysterectomy in the Presence of a Large Uterus

Cited by 67 publications

References 16 publications

Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Factors Determining Conversion to Laparotomy in Patients Undergoing Total Laparoscopic Hysterectomy

Robotically assisted hysterectomy: 100 cases after the learning curve

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