Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases

OBJECTIVE: This study analyses the technique and complications from total laparoscopic hysterectomy. METHODS: Retrospective chart abstraction was performed on 830 consecutive patients operated on between 1996 and 2006. Demographic and surgical data were analyzed by ANOVA, chi-square, and Spearman an...

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Main Authors:	O'Hanlan, Katherine A., Dibble, Suzanne L., Garnier, Anne-Caroline, Reuland, Mirjam Leuchtenberger
Formato:	Artigo
Idioma:	Inglês
Publicado em:	Society of Laparoendoscopic Surgeons 2007
Assuntos:	Scientific Papers
Acesso em linha:	https://ncbi.nlm.nih.gov/pmc/articles/PMC3015816/ https://ncbi.nlm.nih.gov/pubmed/17651556
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id	pubmed-3015816
record_format	dspace
spelling	pubmed-30158162011-02-17 Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases O'Hanlan, Katherine A. Dibble, Suzanne L. Garnier, Anne-Caroline Reuland, Mirjam Leuchtenberger JSLS Scientific Papers OBJECTIVE: This study analyses the technique and complications from total laparoscopic hysterectomy. METHODS: Retrospective chart abstraction was performed on 830 consecutive patients operated on between 1996 and 2006. Demographic and surgical data were analyzed by ANOVA, chi-square, and Spearman and Pearson correlation techniques were used with significance set at P<0.05. RESULTS: Of 830 consecutive patients, 5 (0.6%) were converted to laparotomy. Patients had a mean age of 50 (±11) years, a mean of 1.3 (±1.3) pregnancies, and a mean BMI of 27.6 (±6.8) kg/m(2). The mean surgical duration was 132 (±55) minutes, with mean blood loss of 130 (±189) mL and average hospital stay of 1.4 (±0.9) days. Duration of surgery, blood loss, and hospital stay all decreased with the surgeon's increasing experience. Reoperative complications occurred in 38 patients (4.7%). Urologic injuries were observed in 23 patients (2.6%), with 9 (1.1%) requiring reoperation. CONCLUSIONS: This technique for TLH offers the benefits of minimally invasive surgery for patients needing hysterectomy, even those without vaginal capacity and uterine prolapse. Society of Laparoendoscopic Surgeons 2007 /pmc/articles/PMC3015816/ /pubmed/17651556 Text en © 2007 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
institution	US NLM
collection	PubMed Central
language	Inglês
format	Artigo
topic	Scientific Papers
spellingShingle	Scientific Papers O'Hanlan, Katherine A. Dibble, Suzanne L. Garnier, Anne-Caroline Reuland, Mirjam Leuchtenberger Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
description	OBJECTIVE: This study analyses the technique and complications from total laparoscopic hysterectomy. METHODS: Retrospective chart abstraction was performed on 830 consecutive patients operated on between 1996 and 2006. Demographic and surgical data were analyzed by ANOVA, chi-square, and Spearman and Pearson correlation techniques were used with significance set at P<0.05. RESULTS: Of 830 consecutive patients, 5 (0.6%) were converted to laparotomy. Patients had a mean age of 50 (±11) years, a mean of 1.3 (±1.3) pregnancies, and a mean BMI of 27.6 (±6.8) kg/m(2). The mean surgical duration was 132 (±55) minutes, with mean blood loss of 130 (±189) mL and average hospital stay of 1.4 (±0.9) days. Duration of surgery, blood loss, and hospital stay all decreased with the surgeon's increasing experience. Reoperative complications occurred in 38 patients (4.7%). Urologic injuries were observed in 23 patients (2.6%), with 9 (1.1%) requiring reoperation. CONCLUSIONS: This technique for TLH offers the benefits of minimally invasive surgery for patients needing hysterectomy, even those without vaginal capacity and uterine prolapse.
author	O'Hanlan, Katherine A. Dibble, Suzanne L. Garnier, Anne-Caroline Reuland, Mirjam Leuchtenberger
author_facet	O'Hanlan, Katherine A. Dibble, Suzanne L. Garnier, Anne-Caroline Reuland, Mirjam Leuchtenberger
author_sort	O'Hanlan, Katherine A.
title	Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
title_short	Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
title_full	Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
title_fullStr	Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
title_full_unstemmed	Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases
title_sort	total laparoscopic hysterectomy: technique and complications of 830 cases
publisher	Society of Laparoendoscopic Surgeons
publishDate	2007
url	https://ncbi.nlm.nih.gov/pmc/articles/PMC3015816/ https://ncbi.nlm.nih.gov/pubmed/17651556
_version_	1754378082221817856

Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases

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