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https://read.qxmd.com/read/33585130/outcomes-of-total-laparoscopic-hysterectomy-a-single-surgeon-experience-of-initial-50-cases
#1
JOURNAL ARTICLE
Sana Ashfaq, Mubashra Samina, Maria Jabeen, Shaheen Zafar
Introduction In this study, we reported a single surgeon experience of total laparoscopic hysterectomy (TLH) in terms of intraoperative and early postoperative outcomes and complications. In addition, we compared our results with published literature for a reevaluation of complications and outcomes. Material and methods This present prospective study was conducted on 50 patients who underwent TLH due to benign causes. Patients diagnosed with abnormal uterine bleeding (AUB), uterine fibroids, and post-menopausal bleeding (PMB) were included in this analysis...
January 12, 2021: Curēus
https://read.qxmd.com/read/31856291/the-impact-of-systematic-laparoscopic-skills-and-suture-training-on-laparoscopic-hysterectomy-outcomes-in-a-brazilian-teaching-hospital
#2
JOURNAL ARTICLE
Anna Luiza Lobão Gonçalves, Helizabet Abdala Ayroza-Ribeiro, Raquel Ferreira Lima, Aline Estefane Eras Yonamine, Fabio Ohara, Paulo Augusto Galvão Ayroza-Ribeiro
OBJECTIVE:  To evaluate the impact of systematic laparoscopic skills and suture training (SLSST) on the total laparoscopic hysterectomy intra- and postoperative outcomes in a Brazilian teaching hospital. METHODS:  A cross-sectional observational study in which 244 charts of total laparoscopic hysterectomy (TLH) patients operated from 2008 to 2014 were reviewed. Patient-specific (age, parity, previous cesarean sections, abdominal surgeries and endometriosis) and surgery-related variables (hospital stay, operative time, uterine volume and operative complications) were analyzed in three different time-frame groups: 2008-09 (I-1) - TLHs performed by senior attending physicians; 2010-11 (I-2) - TLHs performed by residents before the implementation of the SLSST program; and 2012-14 (I-3) - TLHs performed by residents after the implementation of the SLSST program...
December 2019: Revista Brasileira de Ginecologia e Obstetrícia
https://read.qxmd.com/read/30570089/characteristics-of-total-laparoscopic-hysterectomy-among-women-with-or-without-previous-cesarean-section-retrospective-analysis
#3
JOURNAL ARTICLE
Nadiye Koroglu, Berna Aslan Cetin, Gokce Turan, Gonca Yetkin Yıldırım, Aysu Akca, Ali Gedikbasi
BACKGROUND: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. DESIGN AND SETTING: Retrospective analysis in a tertiary-level center. METHODS: The medical records of 504 total laparoscopic hysterectomy patients operated between May 2013 and May 2017 were reviewed retrospectively...
September 2018: São Paulo Medical Journal
https://read.qxmd.com/read/28150406/preoperative-assessment-of-factors-associated-with-difficulty-in-performing-total-laparoscopic-hysterectomy
#4
JOURNAL ARTICLE
Ako Saito, Tetsuya Hirata, Kaori Koga, Masashi Takamura, Shinya Fukuda, Kazuaki Neriishi, Gia Pastorfide, Miyuki Harada, Yasushi Hirota, Osamu Wada-Hiraike, Tomoyuki Fujii, Yutaka Osuga
AIM: Our objective was to determine the preoperative factors associated with difficulty in total laparoscopic hysterectomy (TLH). METHODS: This retrospective clinical study included 157 patients who underwent TLH for leiomyoma or adenomyosis between 2009 and 2013. All patients underwent magnetic resonance imaging (MRI) before surgery. We categorized patients as 'difficult' if the operation time was > 243 min, if total blood loss was > 500 mL, or if conversion to laparotomy was necessary...
February 2017: Journal of Obstetrics and Gynaecology Research
https://read.qxmd.com/read/22442509/total-laparoscopic-hysterectomy-for-large-uterus
#5
JOURNAL ARTICLE
Rakesh Sinha, Meenakshi Sundaram, Smita Lakhotia, Chaitali Mahajan, Gayatri Manaktala, Parul Shah
AIM: In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighing more than 500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number and location of the myomas. DESIGN: Retrospective review (Canadian Task Force Classification II-1) SETTING: Dedicated high volume Gynecological laparoscopy centre...
January 2009: Journal of Gynecological Endoscopy and Surgery
https://read.qxmd.com/read/19801572/total-laparoscopic-hysterectomy-for-benign-uterine-pathologies-obesity-does-not-increase-the-risk-of-complications
#6
JOURNAL ARTICLE
Nicolas Chopin, Jean Marie Malaret, Marie-Christine Lafay-Pillet, Adolphe Fotso, Hervé Foulot, Charles Chapron
BACKGROUND: This study was designed to investigate the intra-operative characteristics and the risk of intra- and post-operative complications in cases of total laparoscopic hysterectomy (TLH) in overweight, obese and non-obese patients. METHODS: This cohort study includes all patients undergoing TLH for benign pathologies between January 1993 and June 2007 in Cochin university hospital (Paris). Demographic and surgical data were analysed. A comparison between overweight and obese patients versus non-obese patients and multivariate analyses were performed...
December 2009: Human Reproduction
https://read.qxmd.com/read/18439511/total-laparoscopic-hysterectomy-with-earlier-uterine-artery-ligation
#7
JOURNAL ARTICLE
Rakesh Sinha, Meenakshi Sundaram, Yogesh A Nikam, Aparna Hegde, Chaitali Mahajan
We compared the feasibility, blood loss, duration of surgery, and complications between patients in whom both uterine arteries were sutured at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom suturing was done after cornual pedicles. Using a prospective study (Canadian Task Force classification II-2) at a dedicated high-volume gynecologic laparoscopy center, a total of 350 women who underwent TLH from January 2005 through January 2007 were assigned into 2 groups. The indications for TLH were predominantly myomas and menorrhagia...
May 2008: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/17342290/urological-complications-of-laparoscopic-hysterectomy-a-four-year-review-at-kk-women-s-and-children-s-hospital-singapore
#8
JOURNAL ARTICLE
A Siow, Y A Nikam, C Ng, M C B Su
INTRODUCTION: This review assessed the incidence, predisposing conditions, and key surgical steps, where urological injuries occurred during laparoscopic hysterectomies at the Minimally Invasive Surgery Unit, KK Women's and Children's Hospital over a four-year period. METHODS: A retrospective review of 495 cases of laparoscopic assisted vaginal hysterectomies (LAVH) and total laparoscopic hysterectomy (TLH) from January 2001 to December 2004 was conducted. RESULTS: A total of eight urological injuries occurred, all within the initial two years of review...
March 2007: Singapore Medical Journal
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