Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis
To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of...
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| Format: | Article |
| Language: | English |
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Elsevier BV
2012
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| Online Access: | http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf |
| _version_ | 1825645253925797888 |
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| author | Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana |
| author_facet | Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana |
| author_sort | Chalermchockchareonkit, Amphan |
| collection | IIUM |
| description | To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy
for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups. Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; Pb0.001). However, estimated volume of blood loss, length of hospital stay, and complication rates were significantly less for patients in the LH group than for those in the AH group (302.6±255.1 mL versus 760.9±633.2 mL [Pb0.001]; 3.5±1.1 days versus 6.4±3.0 days [Pb0.001]; and 18.3% versus 49.0% [Pb0.001], respectively). Conclusion: Compared with AH, LH was associated with fewer complications. LH should, therefore, be the preferred surgical option for women with severe pelvic endometriosis who require a hysterectomy. |
| first_indexed | 2024-03-05T22:44:57Z |
| format | Article |
| id | oai:generic.eprints.org:11543 |
| institution | International Islamic University Malaysia |
| language | English |
| last_indexed | 2024-03-05T22:44:57Z |
| publishDate | 2012 |
| publisher | Elsevier BV |
| record_format | dspace |
| spelling | oai:generic.eprints.org:115432012-01-13T03:37:37Z http://irep.iium.edu.my/11543/ Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana RG Gynecology and obstetrics To compare the surgical outcomes of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) in patients with severe pelvic endometriosis. Methods: A retrospective review of patients undergoing hysterectomy for endometriosis was conducted between January 2002 and December 2007. A total of 503 patients had severe pelvic endometriosis; of these, 115 patients underwent LH and 388 patients underwent AH. Surgical outcomes—including operative time, blood loss, length of hospital stay, and need for blood transfusion—were analyzed and compared between the 2 treatment groups. Results: Operative time was significantly longer for LH than for AH (185.1±48.7 minutes and 139.9±52.4 minutes, respectively; Pb0.001). However, estimated volume of blood loss, length of hospital stay, and complication rates were significantly less for patients in the LH group than for those in the AH group (302.6±255.1 mL versus 760.9±633.2 mL [Pb0.001]; 3.5±1.1 days versus 6.4±3.0 days [Pb0.001]; and 18.3% versus 49.0% [Pb0.001], respectively). Conclusion: Compared with AH, LH was associated with fewer complications. LH should, therefore, be the preferred surgical option for women with severe pelvic endometriosis who require a hysterectomy. Elsevier BV 2012-02 Article PeerReviewed application/pdf en http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf Chalermchockchareonkit, Amphan and Tekasakul, Putthawan and Chaisilwattana, Pongsakdi and Sirimai, Korakot and Abd. Wahab, Noraziana (2012) Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis. International Journal of Gynecology and Obstetrics, 116 (2). pp. 109-111. ISSN 0020-7292 http://www.sciencedirect.com/science/article/pii/S002072921100556X 10.1016/j.ijog.2011.09.022 |
| spellingShingle | RG Gynecology and obstetrics Chalermchockchareonkit, Amphan Tekasakul, Putthawan Chaisilwattana, Pongsakdi Sirimai, Korakot Abd. Wahab, Noraziana Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title | Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title_full | Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title_fullStr | Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title_full_unstemmed | Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title_short | Laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| title_sort | laparoscopic hysterectomy versus abdominal hysterectomy for severe pelvic endometriosis |
| topic | RG Gynecology and obstetrics |
| url | http://irep.iium.edu.my/11543/1/Laparoscopic_hysterectomy_versus_abdominal_hysterectomy_for_severe_pelvic_endometriosis.pdf |
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