Esra İşçi BOSTANCI
(Etlik Zübeyde Hanım Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Yasin DURMUŞ
(Mersin Şehir Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, Mersin, Türkiye)
Fulya KAYIKÇIOĞLU
(Etlik Zübeyde Hanım Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Seçil GÜNEŞ
(Etlik Zübeyde Hanım Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Nurettin BORAN
(Etlik Zübeyde Hanım Eğitim Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Ankara, Türkiye)
Yıl: 2021Cilt: 28Sayı: 4ISSN: 2636-7688 / 2636-7688Sayfa Aralığı: 716 - 721İngilizce

17 0
A single center surgical experience in total laparoscopic hysterectomy and the effect of variables on operation time: Do the uterine volume and the suture type influence the operation time?
Aim: Total laparoscopic hysterectomy has several advantages compared to laparotomy including shorter hospitalization, faster recovery time, less pain, and less hemorrhage. Our aim was to determine the relationship between patient-specific/surgery-related variables and operation times in this study. Materials and Methods: We recruited 191 patients who underwent total laparoscopic hysterectomy. We compared variables including uterine volume, surgical suture materials, and body mass index with operation time. The study was performed with the permission of the Training Plan and Coordination Board Committee of our institution (18/06/2019- No: 10). Results: The uterine volume and body mass index of the patient did not influence the operation time whereas the suturing technique by the laparoscopic approach substantially affected the operating time (p=0.902, p=0.117 and p=0.012, respectively). There was a statistically significant difference between suture type and operation time. The cases that used barbed sutures required a shorter operation time. Conclusion: We investigated the relationship between interesting entities such as uterine volume, type of suture material, and operation times. Laparoscopy should be performed widely in suitable cases. The type of suture material provided an important difference in the operation.
DergiDiğerErişime Açık
  • 1. Garry R. The future of hysterectomy. BJOG 2005;112: 133-9.
  • 2. Whiteman MK, Hillis SD, Jamieson DJ, et al. Inpatient hysterectomy surveillance in the United States. Am. J. Obstet. Gynecol 2008;198:1-7.
  • 3. Reich H, De Caprio J, Mac Glynn F. Laparoscopic hysterectomy. J Gynecol Coll 1989;5:213.
  • 4. Mage G, Wattiez A, Chapron C, et al. Laparoscopic hysterectomy. Results in 44 cases. J Gynecol Obstet Biol Reprod 1992;21:436-44.
  • 5. Terzi H, Biber A, Demirtas O, et al. Total laparoscopic hysterectomy: Analysis of the surgical learning curve in benign conditions. Int J Surg 2016;35:51-7.
  • 6. Kim SM, Park EK, Jeung IC, et al. Abdominal, multi-port and single-port total laparoscopic hysterectomy:eleven-year trends comparison of surgical outcomes complications of 936 cases. Arch Gynecol Obstet 2015;291:1313-9.
  • 7. Matteson A, Butts SF. ACOG Committee Opinion No.701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol 2017;129:155-9.
  • 8. Donnez O, Jadoul P, Squifflet J, et al. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009;116:492-500.
  • 9. Bojahr B, Raatz D, Schonleber G, et al. Perioperative complication rate in 1706 patients after a standardized laparoscopic supracervical hysterectomy technique. J Minim Invasive Gynecol 2006;13:183-9.
  • 10. Karaman Y, Bingol M, Gunenc Z. Prevention of complications in laparoscopic hysterectomy: experience with 1120 cases performed by a single surgeon. J Minim Invasive Gynecol 2007;14:78-84.
  • 11. Naveiro-Fuentes M, Rodrıguez-Oliver A, FernandezParra J, et al. Effect of surgeon’s experience on complications from laparoscopic hysterectomy. J Gynecol Obstet Hum Reprod. 2017;11:63-67.
  • 12. Mavrova R, Radosa JC, Wagenpfeil G, et al. Learning curves for laparoscopic hysterectomy after implementation of minimally invasive surgery. Int J Gynaecol Obstet 2016;134:225–30.
  • 13. Goldstein SR, Horii SC, Snyder JR, et al. Estimation of nongravid uterine volume based on a nomogram of gravid uterine volume: its value in gynecologic uterine abnormalities. Obstet Gynecol 1988;72:86-90.
  • 14. Desimone CP, Ueland FR. Gynecologic laparoscopy. Surg Clin North Am 2008;88:319-41.
  • 15. He H, Zeng D, Ou H, et al. Laparoscopic treatment of endometrial cancer: systematic review. J Minimal Invasive Gynecol 2013;20:413-23.
  • 16. Lopez CC, De Los Rios JF, Gonzalez Y, et al. Barbed Suture Versus Conventional Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy: A Randomized Controlled Clinical Trial. The Journal of Minimally Invasive Gynecology 2018;1553-4650: 31346-3.
  • 17. Alessandri F, Remorgida V, Venturini PL, et al. Unidirectional barbed suture versus continuous suture with intracorporeal knots in laparoscopic myomectomy: a randomized study. J Minim Invasive Gynecol 2010;17:725-9.
  • 18. Angioli R, Plotti F, Montera R, et al. A new type of absorbable barbed suture for use in laparoscopic myomectomy. Int J Gynaecol Obstet 2012;117:220-3.
  • 19. Shah DK, Van Voorhis BJ, Vitonis AF, et al. Association Between Body Mass Index, Uterine Size, and Operative Morbidity in Women Undergoing Minimally Invasive Hysterectomy. J Minim Invasive Gynecol 2016;23:1113-22.
  • 20. Saito A, Hirata T, Koga K, et al. Preoperative assessment of factors associated with difficulty in performing total laparoscopic hysterectomy. J Obstet Gynaecol Res 2017;43:320-9.
  • 21. Otake A, Horai M, Tanaka E, et al. Influences of Total Laparoscopic Hysterectomy According to Body Mass Index (Underweight, Normal Weight, Overweight, or Obese). Gynecol Minim Invasive Ther 2019;8:19-24.
  • 22. Bretschneider CE, Padilla PF, Das D, et al. The impact of surgeon volume on perioperative adverse events in women undergoing minimally invasive hysterectomy for the large uterus. Am J Obstet Gynecol 2018;219:1- 8.
  • 23. Torng PL, Pan SP, Hsu HC, et al. GnRHa Before SinglePort Laparoscopic Hysterectomy in a Large BarrelShaped Uterus. JSLS. 2019;23:2019.00019.
  • 24. O’Hanlan KA, McCutcheon SP, McCutcheon JG. Laparoscopic hysterectomy: impact of uterine size. J Minim Invasive Gynecol 2011;18:85-91.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.