Laparoscopic hysterectomy for endometrial carcinoma in obese patients

Background. Up to date the coincidence of endometrial carcinoma and obesity is widespread. Obesity has unfavorable action on surgical treatment results. Objective. To evaluate the effectiveness of laparoscopic technique for surgical treatment of endometrial carcinoma in obese patients. Methods. We have prospectively evaluated the results of surgical treatment from 97 obese patients with low metastasis risk endometrial carcinoma from 2010 to 2014 years. Results. Laparoscopic surgery associated with low intraoperative blood loss (26.4 ± 7.1 ml vs 267.2 ± 45.0 ml, p < 0.0001), on the other hand laparoscopic surgery not prolongs operating time (108.8 ± 7.5 min vs 104.3 ± 13.5 min, p = 0.38). Obese patients after laparoscopic surgery have low complications rate (1.5 % vs. 48.3 %, p = 0.002). Conclusions. Laparoscopy is effective option for surgical treatment of low metastasis risk endometrial cancer patients with obesity.

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Laparoscopic Hysterectomy and Weight Loss Surgery in Obese Patients With Endometrial Carcinoma/Intraepithelial Neoplasia

Case Medical Research ◽

10.31525/ct1-nct04278183 ◽

2020 ◽

Author(s):

Keyword(s):

Weight Loss ◽

Endometrial Carcinoma ◽

Weight Loss Surgery ◽

Laparoscopic Hysterectomy ◽

Intraepithelial Neoplasia ◽

Obese Patients

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Complications in laparoscopic surgery

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh08s2129c ◽

2008 ◽

Vol 136 (Suppl. 2) ◽

pp. 129-134

Author(s):

Radovan Cvijanovic ◽

Dejan Ivanov

Keyword(s):

Laparoscopic Surgery ◽

Surgical Treatment ◽

Postoperative Complications ◽

Laparoscopic Technique ◽

Operative Field ◽

Experimental Animals ◽

Laparoscopic Equipment ◽

Technical Factors ◽

Equipment And Instruments

The development of technology and improvement of laparoscopic equipment enhanced expansion laparoscopic surgeries. Various operations performed using classical operative approach are nowadays done laparoscopic technique. The expansion of the repertoire, the performance of most complicated surgical procedures and increase in the number of laparoscopic interventions result in the increased number of intraoperative and postoperative complications. They occur due to the basic disease that is the cause of surgery and surgical procedure, but also due to other factors. We cannot influence the very disease - it is the reason for surgical treatment. However, we can make some changes in approach concerning the laparoscopic technique, which can considerably influence possible development of complications. This involves a different approach to the operative field, but also to very surgery. In laparoscopic surgery such approach causes specific intraoperative and postoperative complications. These complications are mainly caused by technical factors, such as the quality of the equipment, instruments and human factors, such as inexperience, insufficient education and excessive self-assurance. To decrease the frequency of intraoperative and postoperative complications in laparoscopic operations we require perfect equipment and instruments, education in a referent institution, but also everyday training with laparascopic equipment and experimental animals.

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Complete Vision Loss after Laparoscopic Hysterectomy

Case Reports in Obstetrics and Gynecology ◽

10.1155/2021/6643703 ◽

2021 ◽

Vol 2021 ◽

pp. 1-4

Author(s):

Steven Radtke ◽

Elizabeth Florence ◽

Alexander Clavijo ◽

Linh Do ◽

Isabel Lopez

Keyword(s):

Visual Acuity ◽

Laparoscopic Surgery ◽

Cerebral Hemorrhage ◽

Vision Loss ◽

Operating Time ◽

Laparoscopic Hysterectomy ◽

Light Perception ◽

Postoperative Visit ◽

Structural Abnormalities ◽

Her 2

Postoperative vision loss (POVL) is a rare but devastating complication that has only recently been reported following laparoscopic surgery. We present the case of a 34-year-old gravida 6 para 4 female who experienced POVL following an uncomplicated laparoscopic hysterectomy. Operating time was 174 minutes, and EBL was 75 mL. After surgery, she complained of complete vision loss with no light perception. No cerebral hemorrhage or ischemia was detected on imaging. Funduscopic exam revealed no structural abnormalities. On postoperative day 7, she received an IV methylprednisolone taper. The following morning, she reported mild light perception. Later that night, she reported a partial return of visual acuity and was discharged home. At her 2-week postoperative visit, her vision had returned to baseline. POVL is an emergency and prompt evaluation should be initiated to optimize outcome.

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Panniculectomy Combined with Bariatric Surgery by Laparotomy: An Analysis of 325 Cases

Surgery Research and Practice ◽

10.1155/2015/193670 ◽

2015 ◽

Vol 2015 ◽

pp. 1-10 ◽

Cited By ~ 2

Author(s):

Vincenzo Colabianchi ◽

Giancarlo de Bernardinis ◽

Matteo Giovannini ◽

Marika Langella

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Surgical Treatment ◽

Recent Literature ◽

Operating Time ◽

Obese Patients ◽

Combined Procedure ◽

Short Operating Time

Surgical treatment of obese patients is much debated in the literature because of the significant intraoperative risks related to comorbidities presented by this type of patients. Recent literature suggests that panniculectomy should follow bariatric surgery after the patient’s weight loss has been stabilized. However, when performed by laparotomy, bariatric surgery can be combined with panniculectomy. This paper presents the analysis of 325 cases of patients undergoing abdominal panniculectomy combined with bariatric surgery. The study highlights the risks, complications, and benefits of the combined procedure and describes a standardized technique for excision of a large abdominal panniculus in a short operating time.

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TWO-LEVEL PLASTIC OF THE PELVIC BOTTOM IN SURGICAL TREATMENT OF RECTOCELE

Koloproktologia ◽

10.33878/2073-7556-2016-0-2-17-24 ◽

2016 ◽

pp. 17-24

Author(s):

A. G. Khitaryan ◽

J. N. Prazdnikov ◽

K. A. Dulierov ◽

D. V. Stagniev ◽

A. Z. Alibekov ◽

...

Keyword(s):

Surgical Treatment ◽

Blood Loss ◽

Operating Time ◽

Intraoperative Blood Loss ◽

Treatment Results ◽

Perioperative Morbidity ◽

Cardinal Ligament ◽

Results Of Treatment ◽

Short Operating Time

AIM. Improvement of treatment results in patients with the rectocele using of a two-level plastic of a pelvic bottom. METHODS. The plastic to a rectocele was carried out from the combined transvaginal and transrectal approach and consisted in sacrospinal-cardinal ligament, the colporrhaphy added transrectal «11 hours» with a mucopexy on height to 5 cm from the dental line. RESULTS. The remote results of treatment were tracked in terms from 12 months till 5 years after operation (a median of 3,5 years). In the studied group the «good» result was noted at 37 (75,5 %) patients, «satisfactory» and «unsatisfactory» - at 11 (22,4%) and 1 (2,0%) patients, respectively. Recurrence of a disease was taped at only 1 patient (2 %). CONCLUSION. The two-level pelvic plastic with the combined vaginal and transrectal access is associated with short operating time of 50 min., intraoperative blood loss about 150 ml and low perioperative morbidity.

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Evaluation of mid-term results of bipolar transurethral resection in the treatment of benign prostatic hyperplasia

World Ecology Journal ◽

10.25726/nm.2019.77.26.001 ◽

2018 ◽

pp. 1-9

Author(s):

А.С. Векильян

Keyword(s):

Surgical Treatment ◽

Benign Prostatic Hyperplasia ◽

Blood Loss ◽

Endoscopic Surgery ◽

Transurethral Resection ◽

Operating Time ◽

Clinical Results ◽

Massive Bleeding ◽

Prostatic Hyperplasia ◽

Surgical Methods

Представлены клинические результаты хирургического лечения доброкачественной гиперплазии предстательной железы (ДГПЖ) объемом до 100 см3 методом биполярной трансуретральной резекции простаты (БТУР -74 пациента) в сравнении с открытой чреспузырной простатэктомией (ОПЭ - 96 пациентов), ранее применявшейся для подобных клинических случаев в урологической клинике "Железнодорожной больницы" г. Волгоград. При статистически равном операционном времени обоих хирургических методов для БТУР отмечено существенное снижение интраоперационной кровопотери, сроков послеоперационной катетеризации и пребывания в стационаре, минимальная частота геморрагических и инфекционно-воспалительных осложнений. Наблюдение за урологическим статусом пациентов в течение первого послеоперационного года показало одинаковую клиническую эффективность сравниваемых хирургических методов. Значительное снижение объема кровопотери в ходе операции БТУР можно считать большим достижением, поскольку улучшение видимости в зоне хирургического вмешательства позволяет оптимизировать гемостаз, предотвратить массивные кровотечения как во время, так и после операции, сократить сроки послеоперационной катетеризации мочевого пузыря, что в свою очередь, снижает частоту развития инфекционно-воспалительных осложнений. Более быстрое восстановление пациентов после эндоскопических операций имеет медико-социальное и экономическое значение, поскольку минимальное количество послеоперационных осложнений и сокращение сроков госпитализации позволяет существенно снизить затраты на лечение и быстрее нормализовать качество жизни пациентов. Полученные результаты демонстрируют перспективность внедрения биполярных методов эндоскопических операций для лечения ДГПЖ в хирургическую практику урологических стационаров в целях повышения безопасности оперативного лечения и экономии затрат на госпитализацию. The clinical results of surgical treatment of benign prostatic hyperplasia (BPH) up to 100 cm3 by bipolar transurethral resection of the prostate (BTUR - 74 patients) in comparison with open transvesical prostatectomy (OPE - 96 patients), previously used for such clinical cases in the urological clinic "Railway hospital" in Volgograd are presented. With statistically equal operating time of both surgical methods, there was a significant decrease in intraoperative blood loss, the terms of postoperative catheterization and hospital stay, the minimum frequency of hemorrhagic and infectious-inflammatory complications. Observation of the urological status of patients during the first postoperative year showed the same clinical efficacy of the compared surgical methods. A significant reduction in the volume of blood loss during the operation, can be considered a great achievement, since the improvement of visibility in the area of surgical intervention allows to optimize the hemostasis, to prevent massive bleeding during and after surgery, to reduce the duration of postoperative bladder catheterization, which, in turn, reduces the incidence of infectious-inflammatory complications. Faster recovery of patients after endoscopic surgery of medical,social and economic importance, as the minimum number of postoperative complications and reduction of hospitalization can significantly reduce the cost of treatment and quickly normalize the quality of life of patients. The results demonstrate the prospects of the introduction of bipolar methods of endoscopic surgery for the treatment of BPH in the surgical practice of urological hospitals in order to improve the safety of surgical treatment and save costs for hospitalization.

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