Research Article
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Year 2019, Volume: 41 Issue: 2, 398 - 403, 30.06.2019
https://doi.org/10.7197/223.vi.547857

Abstract


References

  • 1. İsaoglu Ü, Yılmaz M, Delibaş İB, et al. The evaluation of histopathologic diagnosis in specimens of hysterectomy. Abant Med J 2013; 2 (2): 91-4.2. Nieboer TE, Johnson N, Lethaby A, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2009; 8 (3): CD003677.3. Kluivers KB, Opmeer BC, Geomini PM, et al. Women’s preference for laparoscopic or abdominal hysterectomy. Gynecol Surg 2009; 6 (3): 223-8.4. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol 2011; 18 (1): 1-3.5. Cengiz H, Dağdeviren H, Ekin M, et al. Surgical management of tuboovarian abscess: Results of retrospective case series. J Clin Exp Invest 2012; 3(4):463-6.6. Erkal N, İsenlik BS, Çağlar M, Sahillioğlu B, Kumruet S. Management of adnexal torsion. J Clin Exp Invest 2014; 5 (1): 7-11.7. Englund M, Robson S. Why has the acceptance of laparoscopic hysterectomy been slow? Results of an anonymous survey of Australian gynecologists. J Minim Invasive Gynecol 2007; 14 (6): 724-8.8. Brummer TH, Jalkanen J, Fraser J, et al. FINHYST, a prospective study of 5279 hysterectomies: complications and their risk factors. Hum Reprod 2011; 26 (7): 1741-51. 9. Twijnstra AR, Blikkendaal MD, van Zwet EW, et al. Predictors of successful surgical outcome in laparoscopic hysterectomy. Obstet Gynecol 2012; 119 (4): 700-8.10. O’Hanlan KA, Dibble SL, Garnier AC, Reuland ML. Total laparoscopic hysterectomy: technique and complications of 830 cases. JSLS 2007; 11 (1): 45-53.11. Chopin N, Malaret JM, Lafay-Pillet MC, et al. Total laparoscopic hysterectomy for benign uterine pathologies: obesity does not increase the risk of complications. Hum Reprod 2009; 24 (12): 3057-62. 12. Malinowski A, Makowska J, Antosiak B. Total laparoscopic hysterectomy--indications and complications of 158 patients. Ginekol Pol 2013; 84 (4): 252-7. 13. Mäkinen J, Johansson J, Tomás C, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 2001; 16 (7): 1473-8. 14. Petros PP. The intravaginal slingplasty operation, a minimally invasive technique for cure of urinary incontinence in the female. Aust N Z J Obstet Gynaecol 1996; 36 (4): 453-61.15. Yavuzcan A, Çağlar M, Üstün Y, et al. The effects of age, parity, menopause and previous pelvic surgery on the outcomes of laparoscopic hysterectomy. Düzce Tıp Dergisi 2013; 15 (3): 22-5.16. Ayala-Yáñez R, Briones-Landa C, Anaya-Coeto H, Leroy-López L, Zavaleta-Salazar R. Total laparoscopic hysterectomy: descriptive study of institutional experience with 198 cases. Ginecol Obstet Mex 2010; 78 (11): 605-11.

Laparoscopic hysterectomy experience and learning curve: In our clinic

Year 2019, Volume: 41 Issue: 2, 398 - 403, 30.06.2019
https://doi.org/10.7197/223.vi.547857

Abstract

Objective: The aim of this article is to
compare the perioperative results of 30 laparoscopic hysterectomies (LH) and 62
LH operations performed on patients in similar age groups and demographic
characteristics.  

Method: A total of 92 patients who
were operated between September 2013 and June 2015 in our clinic were included
in the study. Group 1 was formed with the first 30 patients who underwent LH surgery for the first time. Group 2
was formed with 62 patients.

Results: No statistically significant
difference was found between the patients in Group 1 and Group 2 in terms of
age, number of parity and previous pelvic surgery history (p = 0.845; p = 0.266,
and p = 0.796). There was also no statistically significant difference between
the patients in Group 1 and Group 2 in terms of operation time (min.), Delta Hb
(gr / dl), hospitalization time (day) and complication rate (p = 0.198; p = 0.486;
p = 0.201, and p = 0.454).







Conclusions: Although laparoscopic hysterectomy is an operation method with low
complication rates and high patient satisfaction, it should be kept in mind
that increased surgical experience does not always guarantee good perioperative
results.

References

  • 1. İsaoglu Ü, Yılmaz M, Delibaş İB, et al. The evaluation of histopathologic diagnosis in specimens of hysterectomy. Abant Med J 2013; 2 (2): 91-4.2. Nieboer TE, Johnson N, Lethaby A, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2009; 8 (3): CD003677.3. Kluivers KB, Opmeer BC, Geomini PM, et al. Women’s preference for laparoscopic or abdominal hysterectomy. Gynecol Surg 2009; 6 (3): 223-8.4. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol 2011; 18 (1): 1-3.5. Cengiz H, Dağdeviren H, Ekin M, et al. Surgical management of tuboovarian abscess: Results of retrospective case series. J Clin Exp Invest 2012; 3(4):463-6.6. Erkal N, İsenlik BS, Çağlar M, Sahillioğlu B, Kumruet S. Management of adnexal torsion. J Clin Exp Invest 2014; 5 (1): 7-11.7. Englund M, Robson S. Why has the acceptance of laparoscopic hysterectomy been slow? Results of an anonymous survey of Australian gynecologists. J Minim Invasive Gynecol 2007; 14 (6): 724-8.8. Brummer TH, Jalkanen J, Fraser J, et al. FINHYST, a prospective study of 5279 hysterectomies: complications and their risk factors. Hum Reprod 2011; 26 (7): 1741-51. 9. Twijnstra AR, Blikkendaal MD, van Zwet EW, et al. Predictors of successful surgical outcome in laparoscopic hysterectomy. Obstet Gynecol 2012; 119 (4): 700-8.10. O’Hanlan KA, Dibble SL, Garnier AC, Reuland ML. Total laparoscopic hysterectomy: technique and complications of 830 cases. JSLS 2007; 11 (1): 45-53.11. Chopin N, Malaret JM, Lafay-Pillet MC, et al. Total laparoscopic hysterectomy for benign uterine pathologies: obesity does not increase the risk of complications. Hum Reprod 2009; 24 (12): 3057-62. 12. Malinowski A, Makowska J, Antosiak B. Total laparoscopic hysterectomy--indications and complications of 158 patients. Ginekol Pol 2013; 84 (4): 252-7. 13. Mäkinen J, Johansson J, Tomás C, et al. Morbidity of 10 110 hysterectomies by type of approach. Hum Reprod 2001; 16 (7): 1473-8. 14. Petros PP. The intravaginal slingplasty operation, a minimally invasive technique for cure of urinary incontinence in the female. Aust N Z J Obstet Gynaecol 1996; 36 (4): 453-61.15. Yavuzcan A, Çağlar M, Üstün Y, et al. The effects of age, parity, menopause and previous pelvic surgery on the outcomes of laparoscopic hysterectomy. Düzce Tıp Dergisi 2013; 15 (3): 22-5.16. Ayala-Yáñez R, Briones-Landa C, Anaya-Coeto H, Leroy-López L, Zavaleta-Salazar R. Total laparoscopic hysterectomy: descriptive study of institutional experience with 198 cases. Ginecol Obstet Mex 2010; 78 (11): 605-11.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgical Science Research Articles
Authors

Gökmen Sukgen 0000-0002-1597-2799

Ünal Türkay 0000-0002-9370-6816

Publication Date June 30, 2019
Acceptance Date June 24, 2019
Published in Issue Year 2019Volume: 41 Issue: 2

Cite

AMA Sukgen G, Türkay Ü. Laparoscopic hysterectomy experience and learning curve: In our clinic. CMJ. June 2019;41(2):398-403. doi:10.7197/223.vi.547857