Prevention of Complications in Laparoscopic Hysterectomy: Experience With 1120 Cases Performed by a Single Surgeon

dc.contributor.author Karaman, Yücel
dc.contributor.author Bingöl, Banu
dc.contributor.author Guenenc, Ziya
dc.date.accessioned 2019-06-27T08:06:39Z
dc.date.available 2019-06-27T08:06:39Z
dc.date.issued 2007
dc.description.abstract STUDY 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.citationcount 32
dc.identifier.doi 10.1016/j.jmig.2006.08.016 en_US
dc.identifier.endpage 84
dc.identifier.issn 1553-4650 en_US
dc.identifier.issn 1553-4650
dc.identifier.issue 1
dc.identifier.pmid 17218235 en_US
dc.identifier.scopus 2-s2.0-33846023718 en_US
dc.identifier.startpage 78 en_US
dc.identifier.uri https://hdl.handle.net/20.500.12469/1216
dc.identifier.uri https://doi.org/10.1016/j.jmig.2006.08.016
dc.identifier.volume 14 en_US
dc.identifier.wos WOS:000243778000017 en_US
dc.identifier.wosquality Q1
dc.language.iso en en_US
dc.publisher Elsevier Science en_US
dc.relation.journal Journal of Minimally Invasive Gynecology en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 37
dc.subject Laparoscopy en_US
dc.subject Hysterectomy en_US
dc.subject CO2 laser en_US
dc.title Prevention of Complications in Laparoscopic Hysterectomy: Experience With 1120 Cases Performed by a Single Surgeon en_US
dc.type Article en_US
dc.wos.citedbyCount 33
dspace.entity.type Publication

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