Analysis of hysterectomy trends in the last 5 years at a tertiary center
Objectives: This study aimed to assess trends by evaluating the types and complications of hysterectomies performed for benign gynecological reasons at our clinic, which is one of the largest hospitals in Turkey. Materials and Methods: Hysterectomies performed for benign reasons at our gynecology a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Gynecology and Minimally Invasive Therapy |
| Subjects: | |
| Online Access: | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=3;spage=135;epage=140;aulast=Kantarci |
| _version_ | 1797649473528135680 |
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| author | Sercan Kantarci Abdurrahman Hamdi İnan Emrah Töz Mehmet Bolukbasi Ahkam Göksel Kanmaz |
| author_facet | Sercan Kantarci Abdurrahman Hamdi İnan Emrah Töz Mehmet Bolukbasi Ahkam Göksel Kanmaz |
| author_sort | Sercan Kantarci |
| collection | DOAJ |
| description | Objectives: This study aimed to assess trends by evaluating the types and complications of hysterectomies performed for benign gynecological reasons at our clinic, which is one of the largest hospitals in Turkey.
Materials and Methods: Hysterectomies performed for benign reasons at our gynecology and obstetrics clinic between January 1, 2015 and December 31, 2020 were retrospectively reviewed and included in the analysis. Of the 4288 patients who had undergone hysterectomy, 888 patients were excluded some reasons. The data of the remaining 3400 patients were analyzed.
Results: For the 3400 patients, the hysterectomy methods performed were as follows: Total Abdominal Hysterectomy (TAH (60%, n = 2055), Total Laparoscopic Hysterectomy (TLH), (27%, n = 948), Vaginal Hysterectomy (VH), (8.9%, n = 302), Conversion from laparoscopy to laparotomy (L / S > LT). (1.4%, n = 49), Robotic hysterectomy (RH), (1%, n = 33), and Subtotal hysterectomy (SH), (0.4%, n = 13). The length of hospital stay was statistically significantly lower in the TLH group than in the TAH group (P < 0.05). A statistically significant and moderate correlation was noted between the length of hospital stay and the duration of operation (r: 0.68 P = 0.00).
Conclusion: The ratio of TLH group among hysterectomy modalities has increased over the years. There are many factors that affect the surgeon's decision in determining the hysterectomy method.TLH is the first option in patients who are not suitable for vaginal hysterectomy. |
| first_indexed | 2024-03-11T15:46:36Z |
| format | Article |
| id | doaj.art-f4c25039b98d463381dad37b1ecba91a |
| institution | Directory Open Access Journal |
| issn | 2213-3070 |
| language | English |
| last_indexed | 2024-03-11T15:46:36Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Gynecology and Minimally Invasive Therapy |
| spelling | doaj.art-f4c25039b98d463381dad37b1ecba91a2023-10-26T06:27:49ZengWolters Kluwer Medknow PublicationsGynecology and Minimally Invasive Therapy2213-30702023-01-0112313514010.4103/gmit.gmit_30_22Analysis of hysterectomy trends in the last 5 years at a tertiary centerSercan KantarciAbdurrahman Hamdi İnanEmrah TözMehmet BolukbasiAhkam Göksel KanmazObjectives: This study aimed to assess trends by evaluating the types and complications of hysterectomies performed for benign gynecological reasons at our clinic, which is one of the largest hospitals in Turkey. Materials and Methods: Hysterectomies performed for benign reasons at our gynecology and obstetrics clinic between January 1, 2015 and December 31, 2020 were retrospectively reviewed and included in the analysis. Of the 4288 patients who had undergone hysterectomy, 888 patients were excluded some reasons. The data of the remaining 3400 patients were analyzed. Results: For the 3400 patients, the hysterectomy methods performed were as follows: Total Abdominal Hysterectomy (TAH (60%, n = 2055), Total Laparoscopic Hysterectomy (TLH), (27%, n = 948), Vaginal Hysterectomy (VH), (8.9%, n = 302), Conversion from laparoscopy to laparotomy (L / S > LT). (1.4%, n = 49), Robotic hysterectomy (RH), (1%, n = 33), and Subtotal hysterectomy (SH), (0.4%, n = 13). The length of hospital stay was statistically significantly lower in the TLH group than in the TAH group (P < 0.05). A statistically significant and moderate correlation was noted between the length of hospital stay and the duration of operation (r: 0.68 P = 0.00). Conclusion: The ratio of TLH group among hysterectomy modalities has increased over the years. There are many factors that affect the surgeon's decision in determining the hysterectomy method.TLH is the first option in patients who are not suitable for vaginal hysterectomy.http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=3;spage=135;epage=140;aulast=Kantarcilaparoscopic hysterectomyminimally invasive surgerymajor complications |
| spellingShingle | Sercan Kantarci Abdurrahman Hamdi İnan Emrah Töz Mehmet Bolukbasi Ahkam Göksel Kanmaz Analysis of hysterectomy trends in the last 5 years at a tertiary center Gynecology and Minimally Invasive Therapy laparoscopic hysterectomy minimally invasive surgery major complications |
| title | Analysis of hysterectomy trends in the last 5 years at a tertiary center |
| title_full | Analysis of hysterectomy trends in the last 5 years at a tertiary center |
| title_fullStr | Analysis of hysterectomy trends in the last 5 years at a tertiary center |
| title_full_unstemmed | Analysis of hysterectomy trends in the last 5 years at a tertiary center |
| title_short | Analysis of hysterectomy trends in the last 5 years at a tertiary center |
| title_sort | analysis of hysterectomy trends in the last 5 years at a tertiary center |
| topic | laparoscopic hysterectomy minimally invasive surgery major complications |
| url | http://www.e-gmit.com/article.asp?issn=2213-3070;year=2023;volume=12;issue=3;spage=135;epage=140;aulast=Kantarci |
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