Clinical results of laparoscopic hysterectomies: single center experience

Inal, Zeynep Ozturk; Ali İNAL, Hasan

doi:10.17826/cutf.325732

Clinical results of laparoscopic hysterectomies: single center experience

Zeynep Öztürk İNAL, (Konya Education and Research Hospital, Department of Obstetrics and Gynecology, Konya, Turkey)

Hasan Ali İNAL (Necmettin Erbakan University, Meram Medical Faculty, Department of Obstetrics and Gynecology, Konya, Turkey)

Cukurova Medical Journal

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Yıl: 2017 Cilt: 42 Sayı: 4 Sayfa Aralığı: 714 - 720 Metin Dili: İngilizce DOI: 10.17826/cutf.325732 İndeks Tarihi: 16-04-2019

Clinical results of laparoscopic hysterectomies: single center experience

Öz:

Purpose: The aim of this study was to evaluate the clinicalresults of laparoscopic hysterectomy (LH).Materials and Methods: In this retrospective study, theoriginal files of 511 patients who underwent LH betweenJanuary 2010 and December 2016 were analyzed. Thefollowing parameters were recorded and assessedaccording to the years studied: mean age, body mass index(BMI), parity, indications for surgery, uterine weight,operation duration, blood loss, duration of hospitalization,analgesic needs, and intra- and post-operativecomplications.Results: The lowest LH rate was 10.14% in 2012, and thehighest rate was 47.73% in 2016. Uterine myoma (31.51%)and menometrorrhagia (25.63%) resistant to medicaltreatment were the most common indications. There wereno differences in terms of age, BMI, parity, blood loss,analgesic requirements, uterus weight, previous intraabdominalsurgery rate, laparoscopy to laparatomyconversion rate, and intra- or post-operative complicationsduring the period assessed. However, operation time andhospital stay durations were significantly reduced after thefirst 3 years.Conclusion: An emphasis on endoscopy training forgynecological surgeons, along with technological advancesand the use of surgical techniques, has improvedpostoperative LH recovery, and the length of the requiredhospital stay has become shorter. LH should be thepreferred surgical option in hysterectomy indications, as itis effective and safe for the patient.

Anahtar Kelime:

Laparoskopik histerektominin klinik sonuçları: tek merkez deneyimi

Öz:

Amaç: Bu çalışmanın amacı laparoskopik histerektominin (LH) klinik sonuçlarını değerlendirmektir. Gereç ve Yöntem: Bu retrospektif çalışmada, Ocak 2010 ile Aralık 2016 arasında LH uygulanan 511 hastanın orijinal dosyaları incelendi. Yaş ortalamaları, vücut kitle indeksi (VKİ), doğum sayısı, ameliyat endikasyonları, uterus ağırlığı, operasyon süresi, kan kaybı, hastanede kalma süresi, analjezik ihtiyaçları, intraoperatif veya postoperatif komplikasyonlar kaydedildi ve yıllara göre değerlendirildi. Bulgular: En düşük LH oranı %10.14 ile 2012 yılında, en yüksek oran %47.73 ile 2016 yılında idi. Medikal tedaviye dirençli uterin myom (%31.51) ve menometroraji (%25.63) en sık görülen endikasyonlardı. Değerlendirilen süre içerisinde yaş, VKİ, doğum sayısı, kan kaybı, analjezik gereksinimi, uterus ağırlığı, önceden karın içi cerrahi operasyon geçirme oranı, laparoskopiden laparatomiye dönüşüm oranı, intraoperatif veya postoperatif komplikasyonlar açısından fark yoktu. Ancak ameliyat süresi ve hastanede kalış süresi ilk 3 yıldan sonra önemli ölçüde azalmıştı. Sonuç: Jinekolojik cerrahlar için endoskopi eğitimine, teknolojik gelişmelere ve cerrahi tekniklerin kullanımına verilen önem LH sonrası iyileşmeyi geliştirmiş ve hastanede kalış süresini kısaltmıştır. LH hasta için etkin ve güvenli olduğundan histerektomi endikasyonlarında tercih edilen cerrahi seçenek olmalıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Inal Z, Ali İNAL H (2017). Clinical results of laparoscopic hysterectomies: single center experience. , 714 - 720. 10.17826/cutf.325732
Chicago	Inal Zeynep Ozturk,Ali İNAL Hasan Clinical results of laparoscopic hysterectomies: single center experience. (2017): 714 - 720. 10.17826/cutf.325732
MLA	Inal Zeynep Ozturk,Ali İNAL Hasan Clinical results of laparoscopic hysterectomies: single center experience. , 2017, ss.714 - 720. 10.17826/cutf.325732
AMA	Inal Z,Ali İNAL H Clinical results of laparoscopic hysterectomies: single center experience. . 2017; 714 - 720. 10.17826/cutf.325732
Vancouver	Inal Z,Ali İNAL H Clinical results of laparoscopic hysterectomies: single center experience. . 2017; 714 - 720. 10.17826/cutf.325732
IEEE	Inal Z,Ali İNAL H "Clinical results of laparoscopic hysterectomies: single center experience." , ss.714 - 720, 2017. 10.17826/cutf.325732
ISNAD	Inal, Zeynep Ozturk - Ali İNAL, Hasan. "Clinical results of laparoscopic hysterectomies: single center experience". (2017), 714-720. https://doi.org/10.17826/cutf.325732

APA	Inal Z, Ali İNAL H (2017). Clinical results of laparoscopic hysterectomies: single center experience. Cukurova Medical Journal, 42(4), 714 - 720. 10.17826/cutf.325732
Chicago	Inal Zeynep Ozturk,Ali İNAL Hasan Clinical results of laparoscopic hysterectomies: single center experience. Cukurova Medical Journal 42, no.4 (2017): 714 - 720. 10.17826/cutf.325732
MLA	Inal Zeynep Ozturk,Ali İNAL Hasan Clinical results of laparoscopic hysterectomies: single center experience. Cukurova Medical Journal, vol.42, no.4, 2017, ss.714 - 720. 10.17826/cutf.325732
AMA	Inal Z,Ali İNAL H Clinical results of laparoscopic hysterectomies: single center experience. Cukurova Medical Journal. 2017; 42(4): 714 - 720. 10.17826/cutf.325732
Vancouver	Inal Z,Ali İNAL H Clinical results of laparoscopic hysterectomies: single center experience. Cukurova Medical Journal. 2017; 42(4): 714 - 720. 10.17826/cutf.325732
IEEE	Inal Z,Ali İNAL H "Clinical results of laparoscopic hysterectomies: single center experience." Cukurova Medical Journal, 42, ss.714 - 720, 2017. 10.17826/cutf.325732
ISNAD	Inal, Zeynep Ozturk - Ali İNAL, Hasan. "Clinical results of laparoscopic hysterectomies: single center experience". Cukurova Medical Journal 42/4 (2017), 714-720. https://doi.org/10.17826/cutf.325732