SavedAdd your journal

Journals / Journal of the Turkish-German Gynecological Association / 2013 / Cilt: 14 - Sayı: 2

Geçirilmiş abdominal cerrahi total laparoskopik histerektominin uygulanabilirliğini etkilemekte midir?

Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?

Abdulaziz GÜL
Erson AKSU
Didem AKKUŞ
Remzi ABALI
Cem ÇELİK
Nicel TAŞDEMİR
Pages
72–75
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH.(J Turkish-German Gynecol Assoc 2013; 14: 72-5)

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The primary aim of this study is to evaluate the effects of previous abdominal surgery on the feasibility of performing and the safety of total laparoscopic hysterectomy (TLH).Material and Methods: In this retrospective study, we analysed 62 laparoscopic hysterectomies which were performed at our institute between February 2011 and January 2013.
📊
Key Findings & Data:The patients were classified into two groups: Group 1 included patients with a history of abdominal surgery (n=24) and Group 2 included patients without a history of abdominal surgery (n=38).Results: The operating period was compared in both groups: 184.43±51.0 min. for Group 1 and 195.41±64.1 min. for Group 2 (p=0.471).
💡
Conclusion & Impact:Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH.(J Turkish-German Gynecol Assoc 2013; 14: 72-5)
🔬Design:Research Article
📍Scope:2011 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: The primary aim of this study is to evaluate the effects of previous abdominal surgery on the feasibility of performing and the safety of total laparoscopic hysterectomy (TLH).Material and Methods: In this retrospective study, we analysed 62 laparoscopic hysterectomies which were performed at our institute between February 2011 and January 2013. We chose to perform lapa- roscopic surgery for all patients, including those who had previously undergone abdominal surgery. The patients were classified into two groups: Group 1 included patients with a history of abdominal surgery (n=24) and Group 2 included patients without a history of abdominal surgery (n=38).Results: The operating period was compared in both groups: 184.43±51.0 min. for Group 1 and 195.41±64.1 min. for Group 2 (p=0.471). Postoperative hospital stay and blood loss was also com- pared. There was just 1 conversion from TLH to a laparotomy in both groups. None of the patients in Group 1 needed a blood transfusion, whereas 1 in Group 2 did.Conclusion: We found that operation time, postoperative hospital stay, blood loss, rate of operative complications or conversion rate to open surgery between patients with and without a history of abdomi- nal surgery were comparable. Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH.(J Turkish-German Gynecol Assoc 2013; 14: 72-5)

Özet

Amaç: Bu çalışmanın öncelikli amacı, daha önce geçirilmiş abdomi-nal cerrahinin, total laparoskopik histerektomi (TLH) yapılabilirliği vegüvenliği üzerine etkisini değerlendirmektir.Gereç ve Yöntemler: Bu retrospektif çalışmada, Şubat 2011 ve Ocak2013 tarihleri arasında kurumumuzda gerçekleştirilen 62 TLH operas-yonun kayıtları incelendi. Laparoskopik cerrahiyi, geçirilmiş abdomi-nal cerrahisi olsa da tüm hastalarda düşündük. Hastalar iki gruba ay-rıldı. Grup 1 geçirilmiş abdominal cerrrahisi olanları, Grup 2 geçirilmişabdominal cerrahisi olmayanları içerdi.Bulgular: Operasyon süresi her iki grupta da karşılaştırılabilirdi(184.43±51.0 dk. Grup1 ve 195.41±64.1 dk. Grup 2; p=0.471). İki gruparasında intraoperatif komplikasyon açısından anlamlı fark bulunma-dı. Operasyon sonrası hastanede kalış süresi ve kan kaybı da karşı-laştırılabilirdi. Her iki grupta da sadece 1 vakada laparotomiye geçişyapıldı. Grup 1de hiçbir hastada kan transfüzyonu ihtiyacı olmazken,Grup 2de 1 hastada oldu.Sonuç: Çalışmamızda cerrahi geçirmiş ve geçirmemiş olan grup ara-sında, operasyon süresi, postoperatif kalış süresi, kan kaybı, operatifkomplikasyon oranı veya açık cerrahiye geçiş oranı karşılaştırabilirbulundu. Sonuç olarak, abdominal cerrahi hikayesinin olması TLH ningüvenliğini olumsuz etkilememektedir.(J Turkish-German Gynecol Assoc 2013; 14: 72-5)

🔖

Cite This Article

GÜL, A., AKSU, E., AKKUŞ, D., ABALI, R., ÇELİK, C., TAŞDEMİR, N. (2022). Geçirilmiş abdominal cerrahi total laparoskopik histerektominin uygulanabilirliğini etkilemekte midir?. Journal of the Turkish-German Gynecological Association, Cilt: 14 - Sayı: 2, 72–75. https://ajindex.com/articles/567640

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Merrill RM. Hysterectomy surveillance in the United States, 1997- 2005. Med Sci Monit 2008; 14: 24-31.
  2. Spaner SJ, Warnock GL. A brief history of endoscopy, laparoscopy, and laparoscopic surgery. J Laparoendosc Adv Surg Tech A 1997; 7: 369-73. Garry R. The future of hysterectomy. BJOG 2005; 112: 133-9.
  3. Bhoyrul S, Vierra MA, Nezhat CR, Krummel TM, Way LW. Trocar injuries in laparoscopic surgery. J Am Coll Surg 2001; 192: 677-83. Postoperative adhesion development after operative laparos- copy: evaluation at early second-look procedures. Operative Laparoscopy Study Group. Fertil Steril 1991; 55: 700-4.
  4. Champault G, Cazacu F, Taffinder N. Serious trocar accidents in laparoscopic surgery: a French survey of 103, 852 operations. Surg Laparosc Endosc 1996; 6: 367-70.
  5. Levrant SG, Bieber EJ, Barnes RB. Anterior abdominal wall adhesions after laparotomy or laparoscopy. J Am Assoc Gynecol Laparosc 1997; 4: 353-6.
  6. Akyurek N, Salman B, Irkorucu O, Tascilar O, Yuksel O, Sare M, et al. Laparoscopic cholecystectomy in patients with previous abdominal surgery. JSLS 2005; 9: 178-83.
  7. Ng CC, Chern BS. Total laparoscopic hysterectomy: a 5-year experi- ence. Arch Gynecol Obstet 2007; 276: 613-8.
  8. Yada-Hashimoto N, Onoue M, Yoshimi K, Hisa T, Kodama M, Otsuka H, et al. Total laparoscopic hysterectomy in patients with previous abdominal surgery. Arch Gynecol Obstet 2011; 284: 1467-71.
  9. Malzoni M, Perniola G, Perniola F, Imperato F. Optimizing the total laparoscopic hysterectomy procedure for benign uterine pathol- ogy. J Am Assoc Gynecol Laparosc 2004; 11: 211-8. O’Hanlan KA, Dibble SL, Garnier AC, Reuland ML. Total laparo- scopic hysterectomy: technique and complications of 830 cases. JSLS 2007; 11: 45-53.
  10. Heinberg EM, Crawford BL 3rd, Weitzen SH, Bonilla DJ. Total lapa- roscopic hysterectomy in obese versus nonobese patients. Obstet Gynecol 2004; 103: 674-80.
  11. Sokol AI, Chuang K, Milad MP. Risk factors for conversion to laparotomy during gynecologic laparoscopy. J Am Assoc Gynecol Laparosc 2003; 10: 469-73.
  12. Leonard F, Chopin N, Borghese B, Fotso A, Foulot H, Coste J, et al. Total laparoscopic hysterectomy: preoperative risk factors for conversion to laparotomy. J Minim Invasive Gynecol 2005; 12: 312-7.