The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience
Background: Abdominal hysterectomy is an important part of gynaecological malignancy surgeries. These patients usually have associated comorbidities. Prolonged operating times and post operative complications leave them vulnerable for increased morbidity, mortality and financial burden. By using sea...
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2023-08-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | http://journal.barpetaogs.co.in/pdf/010130.pdf |
| _version_ | 1827878117758205952 |
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| author | Nitin Khunteta Shagun Gupta Chandrakanta Sulaniya Vijay Nahata |
| author_facet | Nitin Khunteta Shagun Gupta Chandrakanta Sulaniya Vijay Nahata |
| author_sort | Nitin Khunteta |
| collection | DOAJ |
| description | Background: Abdominal hysterectomy is an important part of gynaecological malignancy surgeries. These patients usually have associated comorbidities. Prolonged operating times and post operative complications leave them vulnerable for increased morbidity, mortality and financial burden. By using sealing device for hysterectomy, we have tried to reduce the operating time, blood loss and hospital stays. Objectives: To analyze the outcome of using vessel sealer for doing sutureless hysterectomy in gynaecological malignancies. Methodology: A total of 29 patients satisfying inclusion criteria were included. They underwent appropriate surgery according to the type of malignancy and stage. We calculated duration of surgery, blood loss and hospital stay. Post operative complications and blood transfusions were recorded. We compared our study technique with others conventional suture ligation technique. Results: The mean operating time for TAH with BSO; TAH, BSO with pelvic lymph node dissection (PLND); TAH, BSO, PLND with total omentectomy was 53.33±9.42, 120, 113.125±31.169 min respectively. The mean blood loss was 26.66±4.71, 100, 60±28.5 ml. Mean hospital stay was 4.66±0.94, 6, 7.125±1.9 days respectively. Post operative complications included retention of urine, lymphedema, lymphocele with deep vein thrombosis in one patient each. No mortality was seen. No blood transfusions were required in any patient. Conclusion: Sutureless hysterectomy using vessel sealing device is a good technique to reduce the intraoperative and postoperative morbidity in gynaecological malignancy surgeries. Major advantages being decreased blood loss and duration of surgery. |
| first_indexed | 2024-03-12T17:47:41Z |
| format | Article |
| id | doaj.art-8f14a08d406d488b82da757fc784a8ee |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-03-12T17:47:41Z |
| publishDate | 2023-08-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-8f14a08d406d488b82da757fc784a8ee2023-08-03T13:32:51ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422023-08-0110113013410.21276/obgyn.2023.10.1.23The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experienceNitin Khunteta 0Shagun Gupta 1Chandrakanta Sulaniya2Vijay Nahata 3Associate Professor and unit head, Department of Surgical Oncology, Shree Ram cancer centre, Mahatma Gandhi Medical college and hospital, Mahatma Gandhi University of medical sciences and technology, Jaipur, Rajasthan, IndiaAssociate Professor, Department of obstetrics and gynaecology, Mahatma Gandhi Medical college and hospital, Mahatma Gandhi University of medical sciences and technology, Jaipur, Gynaecological oncology fellow, Shree Ram cancer centre, Mahatma Gandhi Medical college and hospital, Mahatma Gandhi University of medical sciences and technology, Jaipur, Rajasthan, IndiaAssistant Professor, JLN medical college, Ajmer, Rajasthan, Gynaecological oncology fellow, Shree Ram cancer centre, Mahatma Gandhi Medical college and hospital, Mahatma Gandhi University of medical sciences and technology, Jaipur, Rajasthan, IndiaAssistant Professor, Department of obstetrics and gynaecology, Mahatma Gandhi Medical college and hospital, Mahatma Gandhi University of medical sciences and technology, JaipurBackground: Abdominal hysterectomy is an important part of gynaecological malignancy surgeries. These patients usually have associated comorbidities. Prolonged operating times and post operative complications leave them vulnerable for increased morbidity, mortality and financial burden. By using sealing device for hysterectomy, we have tried to reduce the operating time, blood loss and hospital stays. Objectives: To analyze the outcome of using vessel sealer for doing sutureless hysterectomy in gynaecological malignancies. Methodology: A total of 29 patients satisfying inclusion criteria were included. They underwent appropriate surgery according to the type of malignancy and stage. We calculated duration of surgery, blood loss and hospital stay. Post operative complications and blood transfusions were recorded. We compared our study technique with others conventional suture ligation technique. Results: The mean operating time for TAH with BSO; TAH, BSO with pelvic lymph node dissection (PLND); TAH, BSO, PLND with total omentectomy was 53.33±9.42, 120, 113.125±31.169 min respectively. The mean blood loss was 26.66±4.71, 100, 60±28.5 ml. Mean hospital stay was 4.66±0.94, 6, 7.125±1.9 days respectively. Post operative complications included retention of urine, lymphedema, lymphocele with deep vein thrombosis in one patient each. No mortality was seen. No blood transfusions were required in any patient. Conclusion: Sutureless hysterectomy using vessel sealing device is a good technique to reduce the intraoperative and postoperative morbidity in gynaecological malignancy surgeries. Major advantages being decreased blood loss and duration of surgery.http://journal.barpetaogs.co.in/pdf/010130.pdfsuture less hysterectomygynecological malignanciesradical hysterectomysealing devicevessel sealer assisted radical hysterectomy |
| spellingShingle | Nitin Khunteta Shagun Gupta Chandrakanta Sulaniya Vijay Nahata The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience New Indian Journal of OBGYN suture less hysterectomy gynecological malignancies radical hysterectomy sealing device vessel sealer assisted radical hysterectomy |
| title | The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience |
| title_full | The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience |
| title_fullStr | The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience |
| title_full_unstemmed | The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience |
| title_short | The technique of sutureless total abdominal hysterectomy in gynaecological malignancies: our experience |
| title_sort | technique of sutureless total abdominal hysterectomy in gynaecological malignancies our experience |
| topic | suture less hysterectomy gynecological malignancies radical hysterectomy sealing device vessel sealer assisted radical hysterectomy |
| url | http://journal.barpetaogs.co.in/pdf/010130.pdf |
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