Prevention of complications in laparoscopic hysterectomy: Experience with 1120 cases performed by a single surgeon

dc.contributor.authorKaraman, Yücel
dc.contributor.authorBingöl, Banu
dc.contributor.authorGuenenc, Ziya
dc.date.accessioned2019-06-27T08:06:39Z
dc.date.available2019-06-27T08:06:39Z
dc.date.issued2007
dc.description.abstractSTUDY OBJECTIVE: The aim of this study is to describe a safe technique without any ureteral DESIGN: Prospective study (Canadian Task Force classification II-3). SETTING: Centre Hospitalier Interregional Edith Cavell Department of Obstetrics and Gynecology Endoscopic Laser Surgery Center Bruxelles Belgium, and Kadir Has University Metropolitan Florence Nightingale Hospital Istanbul Turkey. PATIENTS: One thousand one hundred twenty women with benign diseases. INTERVENTIONS: Laparoscopic-assisted vaginal hysterectomy (LAVH) or laparoscopic hysterectomy (LH). MEASUREMENTS AND MAIN RESULTS: Between 1992 and 2004 in 1120 women with benign diseases consecutive LAVH or LH was planned. During laparoscopic hysterectomy at all stages bipolar forceps was used for hemostasis and a CO2 laser was used for vaporization and excision. The total operating time was 35 to 180 minutes with a median of 52 minutes (range 35-163) for LAVH (n = 542) and 55 minutes (range 42-180) for LH (n = 552). Operations were successfully completed laparoscopically in 98.8% of the patients. The mean hospital stay was 2 days. The overall major complication rate was 1%. No ureteral bladder or major vascular injury occurred. CONCLUSION: The technique we used in our study is safe and effective in the prevention of ureteral vesical and vascular injuries during LAVH and LH, moreover the use of bipolar coagulation and a CO2 laser in endoscopic surgery results in a shorter duration of operation. This technique provides all the advantages of both laparoscopic and vaginal surgery. (C) 2007 AAGL. All rights reserved.en_US]
dc.identifier.citation32
dc.identifier.doi10.1016/j.jmig.2006.08.016en_US
dc.identifier.endpage84
dc.identifier.issn1553-4650en_US
dc.identifier.issn1553-4650
dc.identifier.issue1
dc.identifier.pmid17218235en_US
dc.identifier.scopus2-s2.0-33846023718en_US
dc.identifier.scopusqualityN/A
dc.identifier.startpage78en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/1216
dc.identifier.urihttps://doi.org/10.1016/j.jmig.2006.08.016
dc.identifier.volume14en_US
dc.identifier.wosWOS:000243778000017en_US
dc.identifier.wosqualityQ1
dc.language.isoenen_US
dc.publisherElsevier Scienceen_US
dc.relation.journalJournal of Minimally Invasive Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectHysterectomyen_US
dc.subjectCO2 laseren_US
dc.titlePrevention of complications in laparoscopic hysterectomy: Experience with 1120 cases performed by a single surgeonen_US
dc.typeArticleen_US
dspace.entity.typePublication

Files