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2022, Number 4

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Acta Med 2022; 20 (4)

Reverse modified technique for laparoscopic approach to total hysterectomy in benign uterine pathology

Mitre BOM, Zavala GA, López VMA

Language: Spanish
References: 16
Page: 323-328
PDF size: 276.04 Kb.


ABSTRACT

Objective: To present the results of a total laparoscopic hysterectomy reverse modified technique. Material and methods: This surgical technique was performed on a population of 520 patients with benign uterine pathology in the period of January 2010 and December 2015. Results: Of the 520 patients included in the present study, the average time of surgery was 101.7 ± 39.79 min, with a minimum of 30 min and a maximum time of 255 min. The initial diagnosis was uterine myoma (94.2%), abnormal uterine bleeding, and endometriosis in 6.69%. The average trans-surgical hemorrhage was 79.44 ± 115.25 mL, with a minimum of 30 mL and a maximum of 2L. Of the patients with significant trans-surgical hemorrhage, 5 (0.96%) presented hemorrhage above 500 mL and only 1 (0.19%) presented hemorrhage above 2,000 mL. A total of 29 (5.57%) complications were reported, with an incidence of 3.07% of major complications, usually related to a ureteral injury. Average uterine weight was 230.71 g. As for hospital stay, the average was 2.1 ± 1.99 days. Conclusions: This technique is able to adapt to multiple clinical contexts in practice, which is why we consider it a valid and safe technique for laparoscopic hysterectomy.


REFERENCES

  1. Committee Opinion No. 701: Choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2017; 129 (5): e155-e159.

  2. Kovac SR, Barhan S, Lister M, Tucker L, Bishop DA. Guidelines for the selection of the route of hysterectomy: application in a resident clinic population. Am J Obstet Gynecol. 2002; 187 (6): 1521-1527.

  3. Sparic R, Hudelist G, Berisavac M, Gudovic A, Bezadzic S. Hysterectomy throughout history. Acta Chirur Iugosl. 2011, 58 (4): 9-14.

  4. Sutton C. Hysterectomy: a historical perspective. Baillieres Clin Obstet Gynaecol. 1997; 11 (1): 1-22.

  5. Litta P, Saccardi C, Conte L, Florio P. Reverse hysterectomy: another technique for performing a laparoscopic hysterectomy. J Minim Invasive Gynecol. 2013; 20 (5): 631-636.

  6. Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, Marchbanks PA. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol. 2008; 198 (1): 34.e1-7. doi: 10.1016/j.ajog.2007.05.039.

  7. Neis KJ, Zubke W, Fehr M, Romer T, Tamussino K, Nothacker M. Hysterectomy for benign uterine disease. Dtsch Arztebl Int. 2016; 113 (14): 242-249. doi: 10.3238/arztebl.2016.0242.

  8. Walsh CA, Walsh SR, Tang TY, Slack M. Total abdominal hysterectomy versus total laparoscopic hysterectomy for benign disease: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2009; 144 (1): 3-7.

  9. Aarts JWM, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BWJ et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database of Syst Rev. 2015; 2015 (8): CD003677.pub5. doi: 10.1002/14651858.CD003677.pub5.

  10. Janssen PF, Brolmann HA, Huirne JA. Recommendations to prevent urinary tract injuries during laparoscopic hysterectomy: a systematic Delphi procedure among experts. J Minim Invasive Gynecol. 2011; 18 (3): 314-321.

  11. Mueller A, Oppelt P, Ackermann S, Binder H, Beckmann MW. The Hohl instrument for optimizing total laparoscopic hysterectomy procedures. J Minim Invasive Gynecol. 2005; 12: 432-435.

  12. Mueller A, Boosz A, Koch M, Jud S, Faschingbauer F, Schrauder M et al. The Hohl instrument for optimizing total laparoscopic hysterectomy: results of more than 500 procedures in a university training center. Arch Gynecol Obstet. 2012; 285 (1): 123-127.

  13. Naveiro-Fuentes M, Rodríguez-Oliver A, Naveriro-Rilo JC, Gonzalez-Paredes A, Aguilar-Romero MT, Fernandez-Parra J. Complications of laparoscopic gynecologic surgery. JSLS. 2014 Jul-Sep; 18(3): e2014.00058.

  14. Stany MP, Farley JH. Complications of gynecologic surgery. Surg Clin North Am. 2008; 88 (2): 343-359.

  15. Centers for Disease Control and Prevention. Key statistics from the National Survey of Family Growth. 2015. https://www.cdc.gov/nchs/nsfg/key_statistics/s.htm#sterilizationfemale

  16. Koroglu N, Cetina BA, Turan G, Yildirim GY, Akca A, Gedikbasi A. Characteristics of total laparoscopic hysterectomy among women with or without cesarean section: retrospective analysis. Sao Paulo Med J. 2018; 136 (5): 385-389.




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