The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies
Aim: The aim of this study is to compare demographic characteristics, operative data, and complication rates of women who underwent total laparoscopic hysterectomy by the skeleton uterus technique (Skeleton-TLH) with those of women who underwent TLH by the standard technique (Standard-TLH) in a univ...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=2;spage=67;epage=72;aulast=Orhan |
| _version_ | 1819212407405281280 |
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| author | Adnan Orhan Isil Kasapoglu Gokhan Ocakoglu Oguzhan Yuruk Gurkan Uncu Kemal Ozerkan |
| author_facet | Adnan Orhan Isil Kasapoglu Gokhan Ocakoglu Oguzhan Yuruk Gurkan Uncu Kemal Ozerkan |
| author_sort | Adnan Orhan |
| collection | DOAJ |
| description | Aim: The aim of this study is to compare demographic characteristics, operative data, and complication rates of women who underwent total laparoscopic hysterectomy by the skeleton uterus technique (Skeleton-TLH) with those of women who underwent TLH by the standard technique (Standard-TLH) in a university teaching and research hospital.
Materials and Methods: This retrospective study included 932 laparoscopic hysterectomies in a university teaching and research hospital between January 1, 2013 and December 31, 2017. Clinical characteristics, operative outcomes, and complications were recorded and compared for the two techniques.
Results: In total, 932 laparoscopic hysterectomies were performed, 454 by Skeleton-TLH and 478 by Standard-TLH. The general demographic characteristics of the patients were similar; only gravida and parity were statistically significantly different between the groups (P < 0.001). Based on the primary outcomes (the operative data), total anesthesia time and main operation time were similar in the two groups. Estimated blood loss was statistically significantly lower in the Skeleton-TLH group than in the Standard-TLH group. Hospital stay was longer for the Skeleton-TLH group, and specimen weight was heavier. The secondary outcome was the complication rate. There were no differences between the Skeleton-TLH and Standard-TLH groups in the rates of all minor and major complications.
Conclusion: TLH with the skeleton uterus technique is feasible and safe, especially for advanced pelvic surgeons. This technique not only provides retroperitoneal access to the pelvic spaces and good anatomical visibility; but it also delivers a safer laparoscopic hysterectomy by clamping the uterine arteries and monitoring the ureter throughout the operation. |
| first_indexed | 2024-12-23T06:42:29Z |
| format | Article |
| id | doaj.art-b15f2fdec40641f9b713e28d84cf220e |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-12-23T06:42:29Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-b15f2fdec40641f9b713e28d84cf220e2022-12-21T17:56:41ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702019-01-0182677210.4103/GMIT.GMIT_125_18The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomiesAdnan OrhanIsil KasapogluGokhan OcakogluOguzhan YurukGurkan UncuKemal OzerkanAim: The aim of this study is to compare demographic characteristics, operative data, and complication rates of women who underwent total laparoscopic hysterectomy by the skeleton uterus technique (Skeleton-TLH) with those of women who underwent TLH by the standard technique (Standard-TLH) in a university teaching and research hospital. Materials and Methods: This retrospective study included 932 laparoscopic hysterectomies in a university teaching and research hospital between January 1, 2013 and December 31, 2017. Clinical characteristics, operative outcomes, and complications were recorded and compared for the two techniques. Results: In total, 932 laparoscopic hysterectomies were performed, 454 by Skeleton-TLH and 478 by Standard-TLH. The general demographic characteristics of the patients were similar; only gravida and parity were statistically significantly different between the groups (P < 0.001). Based on the primary outcomes (the operative data), total anesthesia time and main operation time were similar in the two groups. Estimated blood loss was statistically significantly lower in the Skeleton-TLH group than in the Standard-TLH group. Hospital stay was longer for the Skeleton-TLH group, and specimen weight was heavier. The secondary outcome was the complication rate. There were no differences between the Skeleton-TLH and Standard-TLH groups in the rates of all minor and major complications. Conclusion: TLH with the skeleton uterus technique is feasible and safe, especially for advanced pelvic surgeons. This technique not only provides retroperitoneal access to the pelvic spaces and good anatomical visibility; but it also delivers a safer laparoscopic hysterectomy by clamping the uterine arteries and monitoring the ureter throughout the operation.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=2;spage=67;epage=72;aulast=OrhanLaparoscopic hysterectomyminimally invasive techniquesSkeleton uterus technique |
| spellingShingle | Adnan Orhan Isil Kasapoglu Gokhan Ocakoglu Oguzhan Yuruk Gurkan Uncu Kemal Ozerkan The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies Gynecology and Minimally Invasive Therapy Laparoscopic hysterectomy minimally invasive techniques Skeleton uterus technique |
| title | The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies |
| title_full | The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies |
| title_fullStr | The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies |
| title_full_unstemmed | The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies |
| title_short | The comparison of outcomes between the “skeleton uterus technique” and conventional techniques in laparoscopic hysterectomies |
| title_sort | comparison of outcomes between the skeleton uterus technique and conventional techniques in laparoscopic hysterectomies |
| topic | Laparoscopic hysterectomy minimally invasive techniques Skeleton uterus technique |
| url | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=2;spage=67;epage=72;aulast=Orhan |
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