scholarly journals LAPAROSCOPIC HYSTERECTOMY

2018 ◽  
Vol 25 (01) ◽  
pp. 26-29
Author(s):  
Sardar Alfareed Zafar ◽  
Javed Iqbal ◽  
Tasnim Tahira ◽  
Naureen Javed ◽  
Shagufta Noor
Keyword(s):  
Blood Loss ◽  
Operative Time ◽  
Laparoscopic Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Inclusion Criteria ◽  
Time Duration ◽  
Surgical Time ◽  
Randomized Control ◽  
Medical University ◽  
Control Study

Hysterectomy is one of the most frequently performed gynaecological procedurein female. Objectives: The purpose of this study was to compare the outcome between totallaparoscopic hysterectomy and abdominal hysterectomy regarding blood loss during surgery,surgical time and postoperative hospital stay. Settings: Department of Gynecology & ObstetricsAllied Hospital, Faisalabad Medical University, Faisalabad. Period: 1st January 2016 - 31stDecember 2016 (1 Year). Study Design: Randomized control Study. Material & Methods: Theethical committee of Faisalabad Medical University, Faisalabad approved the study protocol. Thepatient demographical characteristics were similar in both groups. 112 patients were enrolled.Including 56 case of total laparoscopic hysterectomy and 56 cases of abdominal hysterectomywhich meets inclusion criteria. Result: Average blood loss in TLH was 83.09+10.74ml while itwas 387.88+59.54ml in TAH. When both groups were compared regarding operative time, itwas 76.73+20.2min in TLH while it was 84.7+19.9 in TAH. Postoperative stay in the hospitalwas 1.25+0.44 days in TLH while it was 5.72+0.83 in TAH. Conclusion: The laparoscopichysterectomy is a modern surgical method in current gynecological practice. With increasingexperience and good collaboration of surgical team, time duration can be shortened and bloodloss can be reduced to negligible.

S144 – Management of the Symptomatic Lingual Thyroid

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P125-P125
Author(s):  
Douglas D Massick ◽  
Eugene G Chio
Keyword(s):  
Blood Loss ◽  
Patient Outcomes ◽  
Operative Time ◽  
Management Strategies ◽  
Thyroid Tissue ◽  
Lingual Thyroid ◽  
Prospective Evaluation ◽  
Time Duration ◽  
Transoral Resection

Objectives Understand management strategies for symptomatic lingual thyroid tissue. Methods Prospective evaluation of 6 patients undergoing transoral resection of symptomatic lingual thyroid tissue between 2002 and 2007, with analysis of the evolution of our technique and patient outcomes. Results 6 patients underwent transoral resection of symptomatic lingual thyroid tissue. Operative time, duration of postoperative hospitalization, and blood loss were significantly reduced over the course of the study. Conclusions Symptomatic lingual thyroid tissue can be successfully treated via transoral excision with minimal morbity and excellent patient outcomes.

scholarly journals A Comparative evaluation of Non-descent vaginal hysterectomy versus total Abdominal hysterectomy: A hospital based case control study

2019 ◽  
Vol 17 (1) ◽  
pp. 20-22
Author(s):  
Durga BC ◽  
Aseem Sharma ◽  
Binod Mahaseth ◽  
Nirmala Sharma
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Vaginal Hysterectomy ◽  
Operating Time ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Benign Pathology ◽  
Operative Complications ◽  
Control Study ◽  
Post Operative Complications

Background: Hysterectomy is a common surgery performed by gynecologist worldwide. It can be done either by vaginal, abdominal or laparoscopic route. Non decent vaginal hysterectomy (NDVH) is less invasive, less time consuming and scar less surgery. The blood loss during surgery, intra-operative and post-operative complications are less in NDVH compare to TAH (total abdominal hysterectomy). Aim and objective: to compare the clinical outcome between NDVH and TAH. Method: A hospital based prospective study was done at Nepalgunj medical collage Kolhapur between March 2018–March 2019, 60 cases fulfilling selection criteria were selected, 30 cases underwent NDVH next 30 cases underwent TAH. Outcome is measured on the basis of operating time, blood loss during surgery, hospital stay and post-operative complications. Result: The most common indication for hysterectomy was fibroid uterus in both the groups (NDVH and TAH). The operating time, blood loss, hospital stay and post-operative complications were less in NDVH as compare to TAH. Conclusion: NDVH is a choice of surgery over TAH for freely mobile uterus with benign pathology and uterus size less than twelve weeks and without adenexal pathology.

scholarly journals BACKACHE IN PREGNANCY;

2013 ◽  
Vol 20 (04) ◽  
pp. 550-555
Author(s):  
NADEEM SHAHZAD ◽  
FARHAT ASLAM ◽  
AISHA MALIK ◽  
ASIF HANIF
Keyword(s):  
Obese Patients ◽  
Inclusion Criteria ◽  
First Line ◽  
Randomized Control Study ◽  
Pregnant Females ◽  
The Mean ◽  
Randomized Control ◽  
The Difference ◽  
Control Study

Introduction: Backache is a common problem during pregnancy that is faced by almost one quarter of all pregnant womenworldwide. Objectives: To find an association between backache and pregnancy with respect to obesity and to evaluate the effect ofphysiotherapy for relief of pain. Methodology: This longitudinal observational & randomized control study was conducted on pregnantfemales for a period of six months. 150 females fulfilling the inclusion criteria were enrolled into two groups i.e. obese patients (BMI>29.9) and non obese patients (BMI<29.9). All information was recorded on a Performa that was later entered and analyzed usingSPSS-11.5. Results: The mean age of all patients was 33.67±6.73 years with overall average gestational age of 27.47±5.19 weeks.Flexed posture was observed in 90(60%) patients and 60(40%) had very bad sitting habit. There were 80 (53.3%) obese and 70 (46.7%)non-obese patients. Lordosis was observed in 50 cases, straight spine was observed in 90 cases while 60 patients had no straight spine.st Most females reported that pain started during the 1 trimester (110) but only 40 females reported that they developed pain in the 2ndtrimester.100 females reported that pain was continuous while 50 had intermittent. There were 50 (33%) patients who had severebackache while 100 (66.7%) had worse possible pain which was regressed to no pain in 140(93.3%) patients at final follow up visit andonly 10 (6.7%) had moderate pain after physiotherapy. The difference between pre and post physiotherapy was statistically significant.Both obese and non-obese patients were reported to be benefited but better results were found in non-obese patients. Conclusions: Weconclude that physiotherapy is effective in reducing the backache in pregnant females and has no side effects on fetus and mother. Also,more effective results can be achieved through physiotherapy in non-obese patients compared to obese patients. Thus, Physiotherapycan be recommended as the first line treatment for pregnant females.

scholarly journals An outcome analysis of intertrochanteric fracture of femur managed with proximal femoral nail antirotation II

2019 ◽  
Vol 5 (4) ◽  
pp. 699
Author(s):  
Hemeshwar Harshwardhan ◽  
Shubhanshu Jain ◽  
Manish Sharma
Keyword(s):  
Blood Loss ◽  
Intramedullary Nailing ◽  
Operative Time ◽  
Weight Bearing ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Time Duration ◽  
Early Weight Bearing ◽  
Pull Out ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are common osteoporotic fractures in adults above 60 years with high mortality and morbidity. Common techniques for fixation of these fractures are sliding hip screw and plate or intramedullary nailing. Intramedullary nailing has advantage of short incision, less operative time, rapid rehabilition &amp; thus decreased medical complications. PFNA II is newer intramedullary implant developed to obtain better fixation strength in osteoporotic bones. Biomechanical studies has demonstrated that PFNA II blade has a significance of higher cut out resistance than other commonly used screw systems.</p><p class="abstract"><strong>Methods:</strong> Prospective follow up study carried out at J.L.N. Medical College Ajmer from 1 March 2017 to 31st October 2018. 30 patients with unstable intertrochanteric fractures were included and operated on fracture table in supine position with PFNA2. We measured operative time, duration of hospital stay, modified Harris hip score and complications.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the patients was 70.83 years of age. The mean time in surgery was 38.2 minutes. The mean amount of blood loss in surgery was 110.8 ml. In implant related complications, 2 patients had cut out and 1 patient had pull - out of the implant. Functional results according to modified Harris hip scores was found to be excellent in 8 (30%) patients, good in 12 (40%) patients, fair in 7 (20%) patients and poor in 3 (10%) patients.</p><p><strong>Conclusions:</strong> Elderly patients treated with PFNA2 has good outcome as less operative time, minimal blood loss, early weight bearing, less union time and very few cases of medial penetration and back out of spiral blade. </p>

scholarly journals Comparison between Laparoscopic Hysterectomy and Abdominal Hysterectomy

2014 ◽  
Vol 9 (1) ◽  
pp. 26-28
Author(s):  
R Shrestha ◽  
LH Yu
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Laparoscopic Hysterectomy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Short Hospital Stay ◽  
Early Recovery ◽  
Duration Of Hospital Stay ◽  
Operative Recovery

Aims: Hysterectomy can be performed by abdominal, vaginal and laparoscopic methods. Laparoscopic hysterectomy has been reported as an alternative to traditional abdominal hysterectomy with benefit of early recovery, short hospital stay and less operative complications. This study compared laparoscopic versus abdominal hysterectomy in terms of surgery time, blood loss, post-operative recovery, and duration of hospital stay. Methods: This is a retrospective comparative study among sixty patients who underwent laparoscopic or abdominal hysterectomy for various indications in the Department of Obstetrics and Gynaecology of the Third affiliated hospital of Zhengzhou University from January to March 2007. The data of the patients meeting the set criteria were obtained from the hospital records and hospital based computerized coding system. Enrolled cases were divided in two groups with thirty in each arm. Group TLH (total laparoscopic hysterectomy) was designated for patients who underwent total laparoscopic hysterectomy and group TAH (total abdominal hysterectomy) for those who underwent total abdominal hysterectomy. Results: There was comparatively less blood loss in TLH group (60.2±5.17 ml versus 75.7±7.12 ml) but it was statistically insignificant (p=0.12). The laparoscopic hysterectomy took longer time (107.6±32.4 min versus 74.9±31.1 min) than the abdominal (p<0.001). There was early recovery among TLH group 1.6±0.6 days versus 2.1±0.5 days in TAH group (p=0.001). Mean duration of hospital stay was significantly shorter in TLH group 7.6±1.9 days versus 10.1±2.1 days in TAH group (p<0.001). Conclusions: Laparoscopic hyserectomy is an effective alternative to abdominal hysterectomy with the advantage of less intra-operative blood loss, fast recovery and short hospital stay. DOI: http://dx.doi.org/10.3126/njog.v9i1.11183 NJOG 2014 Jan-Jun; 2(1):26-28

scholarly journals Body Mass Index and Its Role in Total Laparoscopic Hysterectomy

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Shilpa Bhandari ◽  
Pallavi Agrawal ◽  
Aparna Singh
Keyword(s):  
Body Mass Index ◽  
Blood Loss ◽  
Body Mass ◽  
Operative Time ◽  
Intraoperative Complications ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Perioperative Outcomes ◽  
Obese Patients ◽  
Duration Of Surgery

Objective. To evaluate operative and perioperative outcomes in patients undergoing total laparoscopic hysterectomy according to their body mass index. Method. A retrospective study was performed for patients undergoing total laparoscopic hysterectomy at a tertiary care center for a period of 4 years. Patients were divided into two groups: obese (BMI > 30 Kg/m2) and nonobese (BMI < 30 Kg/m2). Duration of surgery, intraoperative blood loss, successful laparoscopic completion, and intraoperative complications were compared in two groups. Result. A total of 253 patients underwent total laparoscopic hysterectomy from January 2010 to December 2013. Out of them, 105 women (41.5%) had a BMI of more than 30 kg/m2. Overall, the mean blood loss was 85.79 ± 54.17 mL; the operative time was 54.17 ± 19.83 min. The surgery was completed laparoscopically in 244 (96.4%) women while laparotomy was done in 4 cases and vaginal suturing and closure of vault were done in 5 cases. Risk of vaginal assistance was higher in obese patients whereas out of the 4 conversions to laparotomy 3 had BMI < 30 kg/m2. The operative time was increased as the BMI of patient increased. Conclusions. Total laparoscopic hysterectomy is a safe and effective procedure for obese patients and can be performed with an efficacy similar to that in nonobese patients.

scholarly journals A comparative analysis of hysterectomies

Medicina ◽  
2007 ◽  
Vol 43 (2) ◽  
pp. 118 ◽  
Author(s):  
Rosita Aniulienė ◽  
Laima Varžgalienė ◽  
Manvydas Varžgalis
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Complication Rate ◽  
Vaginal Hysterectomy ◽  
Length Of Hospital Stay ◽  
Laparoscopic Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Obstetrics And Gynecology ◽  
Significant Difference ◽  
The Mean

The objective of this study was to evaluate and compare operative and postoperative results and differences among laparoscopic, vaginal, and abdominal hysterectomies performed at the Department of Obstetrics and Gynecology of Kaunas University of Medicine Hospital. Methods. A retrospective review of medical histories was performed for women who had undergone three different types of hysterectomies (laparoscopic, vaginal, and abdominal) at the Department of Obstetrics and Gynecology of Kaunas University of Medicine Hospital during 2004–2005. Results. A total of 602 hysterectomies were performed: 51 (8.5%) laparoscopic, 203 (33.7%) vaginal, and 348 (57.8%) abdominal. The lowest complication rate occurred in patients who underwent laparoscopic hysterectomy (n=5, 9.8%) and the highest – abdominal hysterectomy (n=88, 25.2%) (P<0.05). More complication occurred after abdominal as compared to vaginal hysterectomy (n=88, 25.2% vs. n=20, 9.9%, respectively; P<0.05). There was no statistically significant difference in complication rate comparing laparoscopic and vaginal hysterectomies (P=0.26). The amount of blood loss depended on the type of hysterectomy – less blood was lost during laparoscopic and more during abdominal hysterectomy (123.4 vs. 308.5 mL, respectively; P<0.01). A significantly higher blood loss was observed during abdominal hysterectomy as compared to vaginal (195.3 mL) and vaginal as compared to laparoscopic hysterectomy (P<0.01). The mean length of hospital stay differed comparing all three types of hysterectomies: the shortest stay of 8.6 days was after laparoscopic, the longest of 13.7 days – after abdominal hysterectomy. The mean hospital stay was statistically significant shorter for vaginal hysterectomy compared to abdominal hysterectomy (9.1 vs. 13.7 days, P<0.01). The difference in mean length of hospital stay was insignificant comparing laparoscopic and vaginal hysterectomies (P>0.05). Conclusions. Abdominal hysterectomy was the most common procedure performed. The type of hysterectomy influenced the rate of complications – the lowest complication rate was after laparoscopic and vaginal hysterectomies. The amount of blood loss depended on the type of hysterectomy – the lowest was during laparoscopic hysterectomy. Abdominal hysterectomy required on average a longer hospital stay compared with laparoscopic and vaginal hysterectomies.

scholarly journals Laparoscopic versus open hysterectomies in obese patients

2018 ◽  
Vol 5 (12) ◽  
pp. 3893
Author(s):  
Soliman A. El Shakhs ◽  
Moharam A. Mohamed ◽  
Mahmoud A. Shahin ◽  
Ahmed M. Eid
Keyword(s):  
Blood Loss ◽  
Surgical Procedure ◽  
Operative Time ◽  
Laparoscopic Hysterectomy ◽  
Obese Patients ◽  
Optimal Route ◽  
Significant Difference ◽  
Group A ◽  
Prospective Comparative Study ◽  
Group B

Background: Hysterectomy is one of the most frequently performed surgical procedure. Though there are three approaches in hysterectomy (open, vaginal and laparoscopic), still there are controversies regarding the optimal route for performing it.Methods: This prospective comparative study included 42 obese patients subjected for pan-hysterectomy as a treatment. The forty-two patients were allocated into two groups: group (A) subjected to laparoscopic pan-hysterectomy, group (B) subjected to open pan-hysterectomy.Results: There was significant difference between the two groups regarding mean operative time, blood loss, analgesic requirements and hospital stay, while no significant difference regarding intra-operative complications.Conclusions: Laparoscopic hysterectomy in obese patients has emerged as a viable, safe and better alternative to open hysterectomy amongst appropriately trained surgeons.

scholarly journals Congenital Pulmonary Airway Malformation in Children: Advantages of an Additional Trocar in the Lower Thorax for Pulmonary Lobectomy

2021 ◽  
Vol 9 ◽  
Author(s):  
Hiroyuki Koga ◽  
Takanori Ochi ◽  
Shunki Hirayama ◽  
Yukio Watanabe ◽  
Hiroyasu Ueno ◽  
...  
Keyword(s):  
Blood Loss ◽  
Chest Tube ◽  
Operative Time ◽  
Pulmonary Veins ◽  
Pulmonary Lobectomy ◽  
Congenital Pulmonary Airway Malformation ◽  
Tube Insertion ◽  
Time Duration ◽  
Chest Tube Insertion ◽  
Pulmonary Airway

Aim: To present the use of an additional trocar (AT) in the lower thorax during thoracoscopic pulmonary lobectomy (TPL) in children with congenital pulmonary airway malformation.Methods: For a lower lobe TPL (LL), an AT is inserted in the 10th intercostal space (IS) in the posterior axillary line after trocars for a 5-mm 30° scope, and the surgeon's left and right hands are inserted conventionally in the 6th, 4th, and 8th IS in the anterior axillary line, respectively. For an upper lobe TPL (UL), the AT is inserted in the 9th IS, and trocars are inserted in the 5th, 3rd, and 7th IS, respectively. By switching between trocars (6th↔8th for the scope, 4th↔6th for the left hand, and 8th↔10th for the right hand during LL and 5th↔7th, 3rd↔5th, and 7th↔9th during UL, respectively), vital anatomic landmarks (pulmonary veins, bronchi, and feeding arteries) can be viewed posteriorly. The value of AT was assessed from blood loss, operative time, duration of chest tube insertion, requirement for post-operative analgesia, and incidence of perioperative complications.Results: On comparing AT+ (n = 28) and AT– (n = 27), mean intraoperative blood loss (5.6 vs. 13.0 ml), operative time (3.9 vs. 5.1 h), and duration of chest tube insertion (2.2 vs. 3.4 days) were significantly decreased with AT (p &lt; 0.05, respectively). Differences in post-operative analgesia were not significant. There were three complications requiring conversion to open/mini-thoracotomy: AT– (n = 2; bleeding), AT+: (n = 1; erroneous stapling).Conclusions: An AT and switching facilitated posterior dissection during TPL in children with congenital pulmonary airway malformation enhancing safety and efficiency.

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