Laparoscopic hysterectomy with retroperitoneal uterine artery sealing using LigaSure™: Gazi hospital experience

被引：16

作者：

Gol M. ^{[1
]}

Kizilyar A. ^{[1
]}

Eminoglu M. ^{[1
]}

机构：

[1] Department of Obstetrics and Gynecology, Gazi Hospital, Izmir, 1421 str., Kahramanlar

来源：

Archives of Gynecology and Obstetrics | 2007年 / 276卷 / 4期

关键词：

Hysterectomy; Laparoscopy; Uterine artery;

D O I：

10.1007/s00404-007-0353-1

中图分类号：

学科分类号：

摘要：

Objective: The aim of this study was to evaluate the efficacy and safety of laparoscopic hysterectomy by retroperitoneal sealing of the uterine arteries with LigaSure™. Methods: Laparoscopic hysterectomy by retroperitoneal uterine artery sealing with LigaSure was performed by four-puncture laparoscopy in 50 women with various indications for hysterectomy. The mean operation time, amount of intraoperative bleeding, drop in hemoglobin concentration, weight of removed uterus, major and minor per-post operative complications, and the rate of conversion to classical abdominal approach were analyzed prospectively. Results: The mean operation time was 85 min (range 60-125 min). The mean weight of removed uterus was 180 g (range 60-650 g). There was one major complication; one patient had cystotomy due to difficulty in dissecting severe adhesions because of two previous cesarean sections that were repaired laparoscopically. Only one patient converted to laparotomy because of severe bowel adhesions due to rectovaginal endometriosis. All patients were discharged on the first postoperative day. No minor complications occured. Hemoglobin decreased a mean of 0.4 g/dl (range 0.2-1.4 g/dl) by postoperative day 1. Conclusion: Laparoscopic hysterectomy by retroperitoneal uterine artery sealing with LigaSure is an effective, safe, and fast procedure with less intra operative bleeding, short operation time and hospital stay. © 2007 Springer-Verlag.

引用

页码：311 / 314

页数：3

共 13 条

[1]

Marana R., Busaca M., Zupi E., Garcea N., Paparella P., Catalano G.F., Laparascopically asisted vaginal hysterectomy versus total abdominal hysterectomy: A prospective, randomized, multicenter study., Am J Obstet Gynecol, 180, pp. 270-275, (1999)

[2]

Summitt R., Stovall T., Lipscombr S., Lire F., Randomized comparison of laparoscopic assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient Setting., Obstet Gynecol, 80, pp. 895-901, (1992)

[3]

Schwartz R., Complications of laparoscopic hysterectomy., Obstet Gynecol, 81, pp. 1022-1025, (1993)

[4]

Darai E., Soriano D., Kimata P., Laplace C., Lecuru F., Vaginal hysterectomy for enlarged uteri, with or without laparoscopic assistance: Randomized study., Obstet Gynecol, 97, pp. 712-716, (2001)

[5]

Johnson N., Barlow D., Lethaby A., Tavender E., Curr E., Garry R., Surgical approach to hysterectomy for benign gynaecological disease., Cochrane Database Syst Rev, 19, (2006)

[6]

Kohler C., Hasenbein K., Klemm P., Tozzi R., Schneider A., Laparoscopic-assisted vaginal hysterectomy with lateral transsection of the uterine vessels., Surg Endosc, 17, pp. 485-490, (2003)

[7]

Song J., Cho S.J., Park C.S., Kim S.H., Ku P.S., Lee M.A., Two uterine arterial management methods in laparoscopic hysterectomy., Obstet Gynaecol Res, 24, pp. 145-151, (1998)

[8]

Chang W.C., Torng P.L., Huang S.C., Sheu B.C., Hsu W.C., Chen R.J., Chow S.N., Chang D.Y.J., Laparoscopic-assisted vaginal hysterectomy with uterine artery ligation through retrograde umbilical ligament tracking., Minim Invasive Gynecol, 12, pp. 336-342, (2005)

[9]

Dubuc-Lissoir J., Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery., Surg Endosc, 17, pp. 466-468, (2003)

[10]

Nezhat F., Nezhat C., Admon D., Complications and results of 361 hysterectomies performed at laparoscopy., J Am Coll Surg, 180, pp. 307-316, (1995)

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