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Journals / Düzce Tıp Fakültesi Dergisi / 2013 / Cilt: 15 - Sayı: 3

The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy

Laparoskopik Histerektomi Sonuçları Üzerine Yaş, Parite, Menopoz ve Önceki Pelvik Cerrahinin Etkileri

Mete ÇAĞLAR
Yusuf ÜSTÜN
Serdar DİLBAZ
Gazi YILDIZ
Raşit ALTINTAŞ
Atilla ÖZKARA
Selahattin KUMRU
Burdur BUCAK
Ali YAVUZCAN
Pages
22–25
Publication Date
2013-12-01
DOI
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The length of hospital stay was significantly loweramong patients with a previous history of pelvic surgery (p=0.016).Conclusion: The outcomes of LH are affected by previous pelvic surgery,parity and menopausalstatus

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of our study was to evaluate the effects of age, parity , menopausal statusand previous history of pelvic surgery on perioperative and postoperative outcomes oflaparoscopic hysterectomy operations (LH).Methods: Total of 87 patients,who underwent LH between January 2012 and July 2013,wereincluded in this study.
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Key Findings & Data:A retrospective medical record review was performed.Results : There was no significant difference between 68 patients below 55 and 19 patients ator above 55 years in terms of major complication rate (p=0.206), need for postoperative bloodtransfusion (p=0.299), operation time (p=0.991), delta Hb (p=0.161),length of hospital stay(p=0.737) and postoperative fever (p=0.823).
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Conclusion & Impact:The length of hospital stay was significantly loweramong patients with a previous history of pelvic surgery (p=0.016).Conclusion: The outcomes of LH are affected by previous pelvic surgery,parity and menopausalstatus
🔬Design:Review & Systematic Survey
📍Scope:2012 Verileri
⚙️Variables:geçirilmiş pelvik cerrahi · laparoskopik histerektomi · menopoz

Abstract

Purpose: The aim of our study was to evaluate the effects of age, parity , menopausal statusand previous history of pelvic surgery on perioperative and postoperative outcomes oflaparoscopic hysterectomy operations (LH).Methods: Total of 87 patients,who underwent LH between January 2012 and July 2013,wereincluded in this study. A retrospective medical record review was performed.Results : There was no significant difference between 68 patients below 55 and 19 patients ator above 55 years in terms of major complication rate (p=0.206), need for postoperative bloodtransfusion (p=0.299), operation time (p=0.991), delta Hb (p=0.161),length of hospital stay(p=0.737) and postoperative fever (p=0.823). The length of hospital stay was negativelycorrelated with the parity (r=-0.238,p=0.026). Operation time was significantly lower amongwomen who were at menopause (p=0.001). The length of hospital stay was significantly loweramong patients with a previous history of pelvic surgery (p=0.016).Conclusion: The outcomes of LH are affected by previous pelvic surgery,parity and menopausalstatus

Özet

Amaç: Çalışmamızın amacı, laparoskopik histerektomi operasyonlarının (LH) perioperatif vepostoperatif sonuçları üzerine yaş, parite, hormonal durum ve pelvik cerrahi öyküsünün etkilerinideğerlendirmektir.Yöntem: Ocak 2012 ve Temmuz 2013 tarihleri arasında LH uygulanan toplam 87 hastanınretrospektif olarak tıbbi kayıtlar incelenmiştir.Bulgular: Ellibeş yaş altı 68 hasta ve üzeri 19 hasta arasında majör komplikasyon oranı (p =0.206), postoperatif kan transfüzyonu gereksinimi (p = 0,299) ,operasyon süresi (p = 0,991) ,delta Hb (p = 0.161), hastanede kalış süresi (p = 0.737) ve postoperatif ateş (p = 0,823) açısındananlamlı bir fark saptanmamıştır. Parite sayısı ile hastanede kalış süresi arasında negatifkorelasyon bulunmuştur (r = -0,238, p = 0.026). Operasyon süresi menopozdaki hastalardaanlamlı derecede düşük bulunmuştur (p = 0.001). Hastanede kalış süresi pelvik cerrahi öyküsüolan hastalarda (p = 0.016) anlamlı derecede düşük bulunmuştur.Sonuç: LH operasyonunun sonuçları hastanın pelvik cerrahi öyküsü,parite sayısı ve menopozdurumundan etkilenmektedir

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Cite This Article

ÇAĞLAR, M., ÜSTÜN, Y., DİLBAZ, S., YILDIZ, G., ALTINTAŞ, R., ÖZKARA, A., KUMRU, S., BUCAK, B., YAVUZCAN, A. (2013). The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Düzce Tıp Fakültesi Dergisi, Cilt: 15 - Sayı: 3, 22–25. https://ajindex.com/articles/420561

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References (2)

  1. Reich H, De Caprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 5:213, 1989.
  2. Bonilla DJ, Mains L, Rice J, Crawford B 3rd. Total laparoscopic hysterectomy: our 5-year experience (1998- ). Ochsner J 10:8-12, 2010. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol:1, 2011. SD ± SD P value Major Comp. (2.2%) (2.2%) 591 Transfusion (3.4%) (2.2%) 665 Operation time (min.) 93±29.02 07±38.52 0.001 Delta Hb (gr/dl) 49±1.58 34±0.94 645 Hospitalisation (day) 05±0.87 46±1.55 117 BodyTemperature (°C) 81±0.43 73±0.45 412