2088 The Comparison of Total Laparoscopic Hysterectomy With 2-Dimensionalversus 3-Dimensional Laparoscopic Surgical Systems In Benign Uterine Diseases

2019 ◽  
Vol 26 (7) ◽  
pp. S125-S126
Author(s):  
S Park
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
3 Dimensional ◽  
Uterine Diseases

scholarly journals Surgical outcomes of total laparoscopic hysterectomy with 2-dimensional versus 3-dimensional laparoscopic surgical systems

2018 ◽  
Vol 64 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Hiroyuki Yazawa ◽  
Kaoru Takiguchi ◽  
Karin Imaizumi ◽  
Marina Wada ◽  
Fumihiro Ito
Keyword(s):  
Surgical Outcomes ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
3 Dimensional

Comparison of Surgical Outcomes between Natural Orifice Transluminal Endoscopic Surgery for Hysterectomy and Conventional Total Laparoscopic Hysterectomy

2021 ◽  
Vol 104 (8) ◽  
pp. 1255-1262
Keyword(s):  
Blood Loss ◽  
Endoscopic Surgery ◽  
Surgical Outcomes ◽  
Operative Time ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Natural Orifice ◽  
Operative Complication ◽  
Post Operative Pain ◽  
Uterine Diseases

Objective: To compare surgical outcomes between transvaginal natural orifice transluminal endoscopic surgery for hysterectomy (vNOTESH) and total laparoscopic hysterectomy (TLH) for the benign uterine diseases. Materials and Methods: A retrospective review of electronic medical records of women that underwent vNOTESH between January 2019 and June 2020 (n=33) and TLH between June 2017 and August 2019 (n=33) in Bangkok Hospital Udon, Udonthani Province, Thailand was carried out. Measurement outcomes included operative time, estimated blood loss, intra- and post- operative complications, and post-operative pain assessment. Results: One woman of the TLH group was excluded from the study because of severe adhesion. The mean age and BMI were not significantly different between the groups. There was no intra-operative complication in both groups. A median operative time was significantly shorter in the vNOTESH at 73 minutes (30 to 260 minutes than in the TLH at 140 minutes (75 to 296minutes), p<0.0001]. Post-operative pain scores were significantly less in the vNOTESH than in the TLH. In addition, the number of women who needed the added analgesics were significantly less in the vNOTESH than the TLH groups at 6.1% versus 46.9% (p=0.001), respectively. However, the amount of blood loss and post-operative complication were not significantly different between the two groups. Conclusion: The present retrospective study demonstrated that the vNOTES is a feasible and safe procedure for hysterectomy in experienced hands and well-selected cases. This new technique is superior not only in taking less operative time and in achieving less postoperative pain, but also from the cosmetic aspect. Hence, it may be an alternative method for hysterectomy of the benign uterine diseases in the future. Keywords: Hysterectomy; Natural orifice transluminal endoscopic surgery (NOTES); Surgical outcomes; 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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