scholarly journals Is fibroid location associated with hemorrhage and complication rates following laparoscopic myomectomy?

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Kiper Aslan ◽  
Adnan Orhan ◽  
Engin Türkgeldi ◽  
Ebru Suer ◽  
Nergis Duzok ◽  
...  
Keyword(s):  
Laparoscopic Myomectomy ◽  
Complication Rates

scholarly journals Is fibroid location associated with hemorrhage and complication rates following laparoscopic myomectomy?

2020 ◽  
Author(s):  
Kiper Aslan ◽  
Adnan Orhan ◽  
Engin Turkgeldi ◽  
Ebru Suer ◽  
Nergis Duzok ◽  
...  
Keyword(s):  
Posterior Wall ◽  
Anterior Wall ◽  
Uterine Wall ◽  
Laparoscopic Myomectomy ◽  
Complication Rates ◽  
Analgesic Requirement ◽  
Hospitalization Period ◽  
Before And After ◽  
Wall Groups ◽  
Type 3

Abstract Objective To determine whether hemorrhage and complication rates vary according location of the dominant fibroid following laparoscopic myomectomy. Background Laparoscopic myomectomy is associated with less postoperative pain, analgesic requirement, shorter hospitalization period, and less febrile complications when compared to conventional laparotomy. Despite the advantages, complications like hemorrhage, blood transfusion, bowel and urinary tract injury and conversion to laparotomy may be seen in laparoscopic myomectomy. We don’t know whether fibroid location effect these complications. Materials & Methods Women, who underwent laparoscopic myomectomy at two different tertiary academic hospitals, were analyzed retrospectively. Only women with at least one intramural fibroid (Monroe type 3, 4 or 5) were included. Patients were categorized according to localization of the dominant fibroid, i.e. anterior uterine wall, posterior uterine wall, and fundus. Change in hemoglobin levels before and after surgery, and complication rates were compared across categories. Results 219 women with mean age of 35.7 +/-6 years were included. There were 81 women with fundal fibroid, 56 with anterior wall, and 72 with posterior wall fibroid. Other 10 women with intraligamentary and isthmic fibroid were excluded. The mean fibroid diameter was 6.7 ± 2.6, 6.6 ± 2.3, and 6.7 ± 2.3 cm in the fundal, anterior and posterior groups, respectively (p=0.9). The median (25 th – 75 th percentile) changes in hemoglobin levels were 1.5 (0.8 – 2.2), 1.3 (0.6 – 2.1), and 1.3 (0.9 – 2) g/dl in fundal, anterior and posterior wall groups, respectively (p = 0.55). There were 5 (6.2%), 5 (8.9%), and 2 (2.8%) complications in fundal, anterior, and posterior wall groups, respectively (p = 0.33). Conclusion Incidence of hemorrhage or complication does not seem to vary depending on fibroid location. However, the sample size was limited, the observed values suggest that fibroid location does not affect hemorrhage and complication rates.

scholarly journals Is fibroid location associated with hemorrhage and complication rates following laparoscopic myomectomy?

2020 ◽  
Author(s):  
Kiper Aslan ◽  
Adnan Orhan ◽  
Engin Turkgeldi ◽  
Ebru Suer ◽  
Nergis Duzok ◽  
...  
Keyword(s):  
Posterior Wall ◽  
Anterior Wall ◽  
Uterine Wall ◽  
Laparoscopic Myomectomy ◽  
Complication Rates ◽  
Analgesic Requirement ◽  
Hospitalization Period ◽  
Before And After ◽  
Wall Groups ◽  
Type 3

Abstract Objective To determine whether hemorrhage and complication rates vary according to location of the dominant fibroid following laparoscopic myomectomy. Background Laparoscopic myomectomy is associated with less postoperative pain, analgesic requirement, shorter hospitalization period, and less febrile complications when compared to conventional laparotomy. Despite the advantages, complications like hemorrhage, blood transfusion, bowel and urinary tract injury and conversion to laparotomy may be seen in laparoscopic myomectomy. We don’t know whether fibroid location effect these complications. Materials & Methods Women, who underwent laparoscopic myomectomy at two different tertiary academic hospitals, were analyzed retrospectively. Only women with at least one intramural fibroid (Monroe type 3, 4 or 5) were included. Patients were categorized according to localization of the dominant fibroid, i.e. anterior uterine wall, posterior uterine wall, and fundus. Change in hemoglobin levels before and after surgery, and complication rates were compared across categories. Results 219 women with mean age of 35.7 +/-6 years were included. There were 81 women with fundal fibroid, 56 with anterior wall, and 72 with posterior wall fibroid. Other 10 women with intraligamentary and isthmic fibroid were excluded. The mean fibroid diameter was 6.7 ± 2.6, 6.6 ± 2.3, and 6.7 ± 2.3 cm in the fundal, anterior and posterior groups, respectively (p=0.9). The median (25 th – 75 th percentile) changes in hemoglobin levels were 1.5 (0.8 – 2.2), 1.3 (0.6 – 2.1), and 1.3 (0.9 – 2) g/dl in fundal, anterior and posterior wall groups, respectively (p = 0.55). There were 5 (6.2%), 5 (8.9%), and 2 (2.8%) complications in fundal, anterior, and posterior wall groups, respectively (p = 0.33). Conclusion Incidence of hemorrhage or complication does not seem to vary depending on fibroid location. However, the sample size was limited, the observed values suggest that fibroid location does not affect hemorrhage and complication rates.

scholarly journals Comparison of 30-day Complication Rates between Laparoscopic Myomectomy and Total Laparoscopic Hysterectomy for the Treatment of Uterine Leiomyoma in Women Older Than Age 40

2019 ◽  
Vol 26 (6) ◽  
pp. 1076-1082
Author(s):  
David Sheyn ◽  
C. Emi Bretschnieder ◽  
Sangeeta T. Mahajan ◽  
Sherif El-Nashar ◽  
Megan Billow ◽  
...  
Keyword(s):  
Uterine Leiomyoma ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Laparoscopic Myomectomy ◽  
Complication Rates

Study analyzes postsurgical complication rates, factors

2013 ◽  
Vol 6 (1) ◽  
pp. 13-14
Author(s):  
ELIZABETH MECHCATIE
Keyword(s):  
Complication Rates ◽  
Postsurgical Complication

Banding Complication Rates in Teens Mirror Those in Adults

2007 ◽  
Vol 37 (14) ◽  
pp. 38 ◽  
Author(s):  
MITCHEL L. ZOLER
Keyword(s):  
Complication Rates

Should Sequential Bilateral Total Knee Arthroplasty Be Limited to Patients Younger than 80? A Two-Arm Propensity Matched Study

2020 ◽  
Author(s):  
Antonio Klasan ◽  
Sven Edward Putnis ◽  
Wai Weng Yeo ◽  
Darli Myat ◽  
Brett Andrew Fritsch ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Selection ◽  
Knee Arthroplasty ◽  
Major Complication ◽  
The Elderly ◽  
Complication Rates ◽  
Bilateral Total Knee Arthroplasty ◽  
Proper Patient Selection ◽  
Patient Reported ◽  
Total Knee

AbstractDespite multiple studies, there remains a debate on the safety of bilateral total knee arthroplasty (BTKA) in the average age patient, with a paucity of data on the outcome of BTKA in an elderly population. This study included 89 patients aged 80 years and older undergoing sequential BTKA over 14 years were identified in a prospectively collected database. Two matched comparison groups were created: patients under 80 undergoing sequential BTKA and patients over 80 undergoing unilateral TKA (UTKA). An analysis of complications, mortality, revision, and patient-reported outcome measures was performed. Mean age of the elderly cohorts was similar: 82.6 for BTKA and 82.9 for UTKA. The average age BTKA cohort had a mean age of 69.1. Complication rates were higher in bilateral cohorts, more so in the elderly BTKA cohort. Pulmonary embolism (PE) was observed in bilateral cohorts only. In these patients, history of PE and ischemic heart disease was a strong predictive factor for developing a major complication. There was no difference in revision rates and infection rates between the three cohorts, and no difference in patient survivorship between the two elderly cohorts. Through the combination of low revision and high survivorship rates and comparable clinical outcomes, this article demonstrates that simultaneous BTKA is an appropriate option to consider for an elderly patient, with proper patient selection and perioperative management. The demonstrated risk groups show that emphasis on patient selection should be focused on medical history rather than chronological age.

Sign in / Sign up

Export Citation Format

Share Document