Total laparoscopic hysterectomy for enlarged uteri: factors associated with the rate of conversion to open surgery.
Adult
Aged
Body Mass Index
Cohort Studies
Conversion to Open Surgery
/ statistics & numerical data
Female
Humans
Hysterectomy
/ methods
Laparoscopy
/ methods
Laparotomy
Leiomyoma
/ pathology
Middle Aged
Organ Size
Postoperative Complications
/ epidemiology
Retrospective Studies
Uterine Neoplasms
/ pathology
Uterus
/ pathology
Endoscopy
Hysterectomy
enlarged uteri
fibroma
fibromatosis
laparoscopy
Journal
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
ISSN: 1364-6893
Titre abrégé: J Obstet Gynaecol
Pays: England
ID NLM: 8309140
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
pubmed:
20
4
2019
medline:
7
1
2020
entrez:
20
4
2019
Statut:
ppublish
Résumé
A hysterectomy for enlarged uteri is considered a challenge for gynaecologic surgeons, due to the limit of exposure to surgical spaces. Our objective is to investigate the different variables that may have an impact on the risk of conversion to open surgery. This is a retrospective cohort study consisting of 133 women who were submitted to surgery for uterine fibroids and who underwent total hysterectomy by laparoscopic approach attempt. The median uterus weight was 622 grams (range 301-3882) and the median maximum diameter of the bigger fibroid was 74 mm (range 33-148). We registered 13 (9.8%) cases of conversion to laparotomy. Minor and major post-operative complications were recorded in 4 (3%) and in 4 (3%) cases, respectively. After multivariable analysis, the surgeon's experience (OR: 0.24; 95% CI: 0.06-0.94,
Identifiants
pubmed: 31001998
doi: 10.1080/01443615.2019.1575342
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM