Total laparoscopic hysterectomy via suture and ligation technique

Kang, Hye Won; Lee, Ji Won; Kim, Ho Yeon; Kim, Bo Wook; Moon, Chong Soo

doi:10.5468/ogs.2016.59.1.39

Cited by 8 publications

(16 citation statements)

References 15 publications

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“…used RUMI ® System in their study and they found the mean hospitalization duration of 4.1 days. [ 31 ] On the other hand, Mitri et al . found the mean length of hospital stay 1 day.…”

Section: Discussionmentioning

confidence: 99%

Does Uterine Manipulator Type Affect Surgical Outcomes of Laparoscopic Hysterectomy?

Yavuzcan

Altıntaş²,

Yıldız³

et al. 2021

Gynecology and Minimally Invasive Therapy

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Objectives: Many surgeons use uterine manipulator (UM) during laparoscopic hysterectomy (LH). In this study, we aimed to compare the outcomes of LH operations performed by using partially reusable UM with the articulated system (artUM) and disposable (dUM) UM without articulation. Materials and Methods: A total of 99 patients underwent the LH operation. This study was carried out with 35 of those 99 Caucasian patients who met the inclusion criteria. Group 1 consisted for 7 LH operations using the articulated RUMI® II/KOH-Efficient™ (Cooper Surgical, Trumbull, CT, USA) system (artUM), while Group II consisted of 28 patients using old-type V Care®(ConMed Endosurgery, Utica, New York, USA) dUM as UM. Results: Mean operation time was found to be 157.1 ± 42.0 min. The operation time was found statistically longer in Group 1, consisted of artUM used patients (P = 0.006 and P < 0.05). No statistically significant difference was found between two groups in terms of surgical results such as, delta hemoglobin value (P = 0.483 and P < 0.05), length of hospital stay (P = 0.138 and P < 0.05), and postoperative maximum body temperature (P = 0.724 and P < 0.05). Conclusion: The UM type did not alter the surgical outcomes except the operating time in our study. According to our results, the surgical technique is a more significant variable than instruments used in LH for normal size uterus. Further prospective, large-scale studies comparing various UM systems are mandatory.

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“…used RUMI ® System in their study and they found the mean hospitalization duration of 4.1 days. [ 31 ] On the other hand, Mitri et al . found the mean length of hospital stay 1 day.…”

Section: Discussionmentioning

confidence: 99%

Does Uterine Manipulator Type Affect Surgical Outcomes of Laparoscopic Hysterectomy?

Yavuzcan

Altıntaş²,

Yıldız³

et al. 2021

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

show abstract

“… 45 On the other hand, suturing of excessive tissue during vaginal cuff ligation can induce too much tension and cause ureteral obstruction by kinking. 46 Thus, urinary tract injury is one of the inherent risks associated with TLH.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Suturing as a Barrier to Broader Adoption of Laparoscopic Surgery

Lim¹,

Ghosh²,

Niklewski³

et al. 2017

JSLS

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Background:Laparoscopic surgery is increasingly replacing the open procedure because of its many patient-related benefits that are well aligned with policies and programs that seek to optimize health system performance. However, widespread adoption of laparoscopic surgery has been slow, in part, because of the complexity of laparoscopic suturing. The objective of this study was to review the clinical and economic impacts of laparoscopic suturing in key procedures and to assess its role as a barrier to the broader adoption of laparoscopic surgery.Database:A medical literature search of MEDLINE, EMBASE, and BIOSIS from January 2010 through June 2016 identified 47 relevant articles.Conclusion:Laparoscopic suturing and intracorporeal knot tying may result in extended surgical time, complications, and surgeon errors, while improving patient quality of life through improved cosmesis, diet toleration, and better bowel movements. Despite advancement in surgical techniques and the availability of newer surgical tools, the complexity of laparoscopic suturing continues to be a barrier to greater adoption of MIS. The results of the study underscore the need for development of proficiency in laparoscopic suturing, which may help improve patient outcomes and reduce healthcare costs.

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“…In FINHYST study in Finland, the rates of ureteral or bladder injury in TLH/LH performed in 2006 was indicated as 0.3% or 1.0% . An institute of Korea reported that the rates of ureteral or bladder injury as the postoperative complications in TLH from 2005 to 2014 were totally 0.4% or 0.8%, however, after 2010, no complication occurred by the improvement of surgical technique . A single institute in Japan reported that the rates of ureteral and bladder injury was 0.32%, and 0.48%, respectively, in total 1253 TLH by using early ureteral identification technique .…”

Section: Discussionmentioning

confidence: 99%