Academic Journal
Comparison between transumbilical and transvaginal morcellation of a large uterus during single-port-access total laparoscopic hysterectomy
| العنوان: | Comparison between transumbilical and transvaginal morcellation of a large uterus during single-port-access total laparoscopic hysterectomy |
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| المؤلفون: | Seung Ju Oh, Seo Young Lee, Woo Yong Kim, Jieun Kang, Kyoung-Hee Han, San-Hui Lee, Ji Sun Park |
| المصدر: | Obstetrics & Gynecology Science, Vol 63, Iss 3, Pp 379-386 (2020) |
| بيانات النشر: | Korean Society of Obstetrics and Gynecology, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Gynecology and obstetrics |
| مصطلحات موضوعية: | adenomyosis, hysterectomy, laparoscopy, minimally invasive surgical procedures, myoma, Gynecology and obstetrics, RG1-991 |
| الوصف: | ObjectiveTo compare the perioperative outcomes of transumbilical morcellation (TUM) and transvaginal morcellation (TVM) of a large uterus (≥500 g) during single-port-access total laparoscopic hysterectomy (SPA-TLH).MethodsA total of 57 patients who underwent SPA-TLH for a large uterine myoma and/or adenomyosis (uterine weight ≥500 g) between March 2013 and July 2017 were included. For specimen retrieval, TUM was performed for 30 patients and TVM for 27 patients.ResultsPerioperative outcomes, including total operative time, tissue extraction time, extension of skin incision length, estimated volume of blood loss, changes in postoperative hemoglobin level, length of postoperative hospital stay, postoperative pain, and uterine weight, were compared between the 2 groups. No significant differences were observed in the baseline characteristics except for a history of cesarean section (TUM vs. TVM: 83.3% vs. 14.8%, P=0.002) and history of vaginal delivery (TUM vs. TVM: 6.7% vs. 88.8%, P=0.001). The total operative time, tissue extraction time, extension of skin incision length, estimated volume of blood loss, changes in postoperative hemoglobin level, length of postoperative hospital stay, and postoperative pain did not significantly differ between the two groups. The uterine weight was significantly higher for patients who underwent TUM than for those who had TVM (median [range]: 735 g [520–1,380 g] vs. 622 g [514–975 g]; P=0.042).ConclusionTUM during SPA-TLH is a feasible technique for extracting large uteri weighing ≥500 g. This procedure is suitable for patients without a history of vaginal delivery or a narrow vaginal cavity. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Korean |
| تدمد: | 2287-8572 2287-8580 |
| Relation: | http://ogscience.org/upload/pdf/ogs-63-379.pdf; https://doaj.org/toc/2287-8572; https://doaj.org/toc/2287-8580 |
| DOI: | 10.5468/ogs.2020.63.3.379 |
| URL الوصول: | https://doaj.org/article/c43a6831b7554c4dbd447e713b96c5a5 |
| رقم الانضمام: | edsdoj.43a6831b7554c4dbd447e713b96c5a5 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22878572 22878580 |
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| DOI: | 10.5468/ogs.2020.63.3.379 |