Surgical Morbidity of Total Laparoscopic Hysterectomy for Benign Disease: Predictors of Major Postoperative Complications

2021 ◽  
Author(s):  
J. Casarin ◽  
A. Cromi ◽  
G. Bogani ◽  
F. Multinu ◽  
S. Uccella ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Laparoscopic Hysterectomy ◽  
Benign Disease ◽  
Total Laparoscopic Hysterectomy ◽  
Surgical Morbidity

scholarly journals The total laparoscopic hysterectomy - a modern route of hysterectomy. Is there a benefit?

2005 ◽  
Vol 54 (5S) ◽  
pp. 24a-24a
Author(s):  
В. Holthaus ◽  
A. Kletsel ◽  
А. Mosel ◽  
R. A. Regidor
Keyword(s):  
Postoperative Complications ◽  
Hospital Stay ◽  
Laparoscopic Approach ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Short Hospital Stay ◽  
Female Patients ◽  
Benign Disorders

Objective: Total laparoscopic hysterectomy - a suitable approach to hysterectomy compared to the abdominal way. Introduction.Hysterectomy is the most frequent surgery performed on female patients (approximately 70,000 per year in Germany). In more than 90% of the cases, it is indicated for benign disorders. In 1996 about 8% of the operation were done by laparoscopy, in 2002 it was done in about 12% of the cases. Only a very few recent publications focuses on per- and postoperative complications of the total laparoscopic hysterectomy. The advantage of the laparoscopic approach has been mainly associated with a short hospital stay and a quick convalescence. The object of this study was to list the advantage and the complications of the laparoscopic hysterectomy.

scholarly journals Total laparoscopic hysterectomy for benign disease: outcomes and literature analysis

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Liliana Mereu ◽  
Roberta Carlin ◽  
Alice Pellegrini ◽  
Francesca Guasina ◽  
Valeria Berlanda ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Benign Disease ◽  
Total Laparoscopic Hysterectomy ◽  
Literature Analysis ◽  
Disease Outcomes

scholarly journals A Comparative Study of the Influence of Body Mass Index on Clinical Outcomes of Total Laparoscopic Hysterectomy in Birat Medical College Teaching Hospital, Morang, Nepal

2021 ◽  
Vol 6 (1) ◽  
pp. 1383-1387
Author(s):  
Bhanubhakta Neupane ◽  
Gyanendra Man Singh Karki ◽  
Hanoon P Pokharel ◽  
Prerana Dahal ◽  
Garima Bhandari
Keyword(s):  
Body Mass Index ◽  
Postoperative Complications ◽  
Body Mass ◽  
Teaching Hospital ◽  
College Teaching ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Medical College ◽  
Increased Risk ◽  
High Bmi

Introduction: Although laparoscopy is a safe route of hysterectomy as it provides battier view of abdominal anatomy, facilitates meticulous hemostasis and reduces surgical morbidity, laparoscopic hysterectomy in overweight and obese women may pose an increased risk of intraoperative and postoperative complications as omental fat and limited manipulation of instruments may render operation difficult. Objectives: The aim of the study is to evaluate the impact of Body Mass Index (BMI) on the clinical outcome of total laparoscopichysterectomy. Methodology: This is a comparative cross-sectional study conducted in 190 patients who underwent total laparoscopic hysterectomy (TLH) in Department of Obstetrics and Gynecology of Birat Medical College, Teaching Hospital from July, 2019 to November 2020.Ninety five patients were enrolled in high BMI group and normal BMI group each Result: Mean BMI was 28.90±2.27 ( Kg/M2)in high BMI group and 23.54 ± 1.14 (Kg/M2)in normal BMI group. Urinary tract injury occurred in 4 (4.21%) cases in high BMI group and 2 (2.1%) cases in normal BMI group. Intraoperative and immediate postoperative complication were similar in both groups. Conclusion: Intraoperative and postoperative complications were similar in both the groups. Patients with high BMI have no increased risk of complications during total laparoscopic hysterectomy. 

scholarly journals A retrospective study of 323 total laparoscopic hysterectomy cases for various indications and a case report treating caesarean scar pregnancy

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Wataru Isono ◽  
Akira Tsuchiya ◽  
Michiko Honda ◽  
Ako Saito ◽  
Hiroko Tsuchiya ◽  
...  
Keyword(s):  
Risk Factors ◽  
Multivariate Analysis ◽  
Case Report ◽  
Postoperative Complications ◽  
Intraoperative Complications ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Caesarean Scar ◽  
Caesarean Scar Pregnancy ◽  
Uterine Diseases

Abstract Background The application of laparoscopic surgeries has been increasing, and various uterine diseases in addition to leiomyoma/adenomyoma have become indications for total laparoscopic hysterectomy (TLH). Therefore, data acquisition and analysis of TLH procedures, including TLH for rare uterine diseases, have become important for improving surgical procedures and patient selection. To determine the prevalence of and risk factors for the occurrence of intraoperative and postoperative complications of TLH, we performed a multivariate analysis of the records in our hospital. Methods We retrospectively reviewed the medical records of 323 patients who underwent TLH for the treatment of leiomyoma/adenomyoma (278 cases), low-grade (pre)malignant uterine tumours (40 cases) and other rare uterine diseases (5 cases) from January 1, 2015, to December 31, 2019. Of the rare uterine diseases, one case of caesarean scar pregnancy for which TLH was performed is introduced as a case report. To assess the effects of 11 representative factors, including patient characteristics, uterus and leiomyoma sizes, indications for TLH and others, we performed a multivariate logistic regression analysis. Results Among the 323 cases, 20 intraoperative complications and 15 postoperative complications were reported. In the multivariate analysis, “ovarian tumour” and “heavy uterus” were positively associated and “nulliparity” was negatively associated with intraoperative complications. There were no significant risk factors for postoperative complications. The only risk factor for operative complications directly related to the resected uterus was “heavy uterus”. Therefore, we could perform TLH relatively safely for patients with other indications besides leiomyoma/adenomyoma. Conclusions Considering the factors detected in this analysis, the indications for TLH may be expanded. Owing to the increase in TLH for indications other than leiomyoma/adenomyoma, a more accurate determination of the treatment approach can be achieved.

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