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- Title
Total laparoscopic hysterectomy without uterine manipulator at big uterus weight (>280 g).
- Authors
Mebes, Imke; Diedrich, Klaus; Banz-Jansen, Constanze
- Abstract
Methods: The retrospective study included the total laparoscopic hysterectomy without uterus manipulator at big uterus >280 g (Group A), proceeding the same technique as known to show feasibility and safety of its technique, compared with a randomized patient group of a uterus weight below 280 g (Group B). Statistical measurement was proceeded in typical clinical parameters. Results: No statistical differences in age, body mass index, further abdominal surgery, blood loss, and hospital stay were observed. Operating time was significantly different favouring the uterus below 280 g (111.74 min Group A/90.68 min Group B). No increase in intra- or postoperative complications in both groups was observed. Conclusion: Total hysterectomy at big uterus (>280 g) is safe and feasible. Statistical analysis shows a significant shorter operating time only in one parameter (Group B). The technique of hysterectomy without uterus manipulator offers a surgical advancement also at vaginal stenosis, early staged cervix, or endometrial cancer and exhibits an opportunity for laparoscopic advancement in these cases too.
- Subjects
HYSTERECTOMY; LAPAROSCOPIC surgery; ENDOMETRIAL cancer; BODY mass index; RETROSPECTIVE studies; FEASIBILITY studies; COMPARATIVE studies
- Publication
Archives of Gynecology & Obstetrics, 2012, Vol 286, Issue 1, p131
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-012-2249-y