Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy
Objective: This study aims to compare between operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy (SPA-LAVH) and single-port-access total laparoscopic hysterectomy (SPA-TLH), further subdivided by vaginal cuff closure via laparoscopic suture (VCC-L) or via the vaginal...
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| Format: | Article |
| Language: | English |
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Elsevier
2014-12-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455914001764 |
| _version_ | 1811202750996807680 |
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| author | Bo Sung Yoon Seok Ju Seong In Hyun Kim Taejong Song Mi-La Kim Mi Kyoung Kim |
| author_facet | Bo Sung Yoon Seok Ju Seong In Hyun Kim Taejong Song Mi-La Kim Mi Kyoung Kim |
| author_sort | Bo Sung Yoon |
| collection | DOAJ |
| description | Objective: This study aims to compare between operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy (SPA-LAVH) and single-port-access total laparoscopic hysterectomy (SPA-TLH), further subdivided by vaginal cuff closure via laparoscopic suture (VCC-L) or via the vaginal route (VCC-V).
Materials and methods: A custom-made port was used for single-port laparoscopy in 111 patients who underwent SPA-LAVH (n = 33), SPA-TLH with VCC-L (n = 35), and SPA-TLH with VCC-V (n = 43) during October 2009–October 2010. Records were reviewed retrospectively.
Results: A significant difference in the operating time was observed among the groups (p = 0.009). SPA-TLH with VCC-L took a significantly longer time to be performed (118.6 ± 41.8 minutes) than SPA-TLH with VCC-V (98.6 ± 21.3 minutes) or SPA-LAVH (102.0 ± 20.3 minutes). The decrease in hemoglobin level on the 1st day postsurgery was significantly smaller in case of SPA-LAVH (1.56 ± 0.97 g/dL, p = 0.005) compared with that in case of SPA-TLH with VCC-L (2.19 ± 0.95 g/dL) and SPA-TLH with VCC-V (2.24 ± 0.95 g/dL). No significant differences in other surgical outcomes were found.
Conclusion: SPA-TLH with laparoscopic vaginal suture required the longest operating time, and hemoglobin changes were smaller in the SPA-LAVH group than in the other groups. In patients undergoing SPA laparoscopy, we recommend the SPA-LAVH procedure. |
| first_indexed | 2024-04-12T02:44:56Z |
| format | Article |
| id | doaj.art-028043ef34724fc4bd364453d6111560 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-12T02:44:56Z |
| publishDate | 2014-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-028043ef34724fc4bd364453d61115602022-12-22T03:51:13ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592014-12-0153448648910.1016/j.tjog.2013.07.003Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomyBo Sung Yoon0Seok Ju Seong1In Hyun Kim2Taejong Song3Mi-La Kim4Mi Kyoung Kim5Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, CHA Daegu Medical Center, CHA University, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of KoreaDepartment of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Republic of KoreaObjective: This study aims to compare between operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy (SPA-LAVH) and single-port-access total laparoscopic hysterectomy (SPA-TLH), further subdivided by vaginal cuff closure via laparoscopic suture (VCC-L) or via the vaginal route (VCC-V). Materials and methods: A custom-made port was used for single-port laparoscopy in 111 patients who underwent SPA-LAVH (n = 33), SPA-TLH with VCC-L (n = 35), and SPA-TLH with VCC-V (n = 43) during October 2009–October 2010. Records were reviewed retrospectively. Results: A significant difference in the operating time was observed among the groups (p = 0.009). SPA-TLH with VCC-L took a significantly longer time to be performed (118.6 ± 41.8 minutes) than SPA-TLH with VCC-V (98.6 ± 21.3 minutes) or SPA-LAVH (102.0 ± 20.3 minutes). The decrease in hemoglobin level on the 1st day postsurgery was significantly smaller in case of SPA-LAVH (1.56 ± 0.97 g/dL, p = 0.005) compared with that in case of SPA-TLH with VCC-L (2.19 ± 0.95 g/dL) and SPA-TLH with VCC-V (2.24 ± 0.95 g/dL). No significant differences in other surgical outcomes were found. Conclusion: SPA-TLH with laparoscopic vaginal suture required the longest operating time, and hemoglobin changes were smaller in the SPA-LAVH group than in the other groups. In patients undergoing SPA laparoscopy, we recommend the SPA-LAVH procedure.http://www.sciencedirect.com/science/article/pii/S1028455914001764laparoscopic hysterectomylaparoscopy-assisted vaginal hysterectomysingle porttotal laparoscopic hysterectomyvaginal cuff suture |
| spellingShingle | Bo Sung Yoon Seok Ju Seong In Hyun Kim Taejong Song Mi-La Kim Mi Kyoung Kim Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy Taiwanese Journal of Obstetrics & Gynecology laparoscopic hysterectomy laparoscopy-assisted vaginal hysterectomy single port total laparoscopic hysterectomy vaginal cuff suture |
| title | Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy |
| title_full | Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy |
| title_fullStr | Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy |
| title_full_unstemmed | Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy |
| title_short | Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy |
| title_sort | operative outcomes of single port access laparoscopy assisted vaginal hysterectomy compared with single port access total laparoscopic hysterectomy |
| topic | laparoscopic hysterectomy laparoscopy-assisted vaginal hysterectomy single port total laparoscopic hysterectomy vaginal cuff suture |
| url | http://www.sciencedirect.com/science/article/pii/S1028455914001764 |
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