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Comparison of total laparoscopic hysterectomy and abdominal hysterectomy

OBJECTIVE: The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic. MATERIALS AND METHODS: We performed surgical procedures at Necmettin Erbakan University Faculty of Medi...

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Detalles Bibliográficos
Autor principal: Balcı, Osman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558366/
https://www.ncbi.nlm.nih.gov/pubmed/28913025
http://dx.doi.org/10.4274/tjod.47108
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author Balcı, Osman
author_facet Balcı, Osman
author_sort Balcı, Osman
collection PubMed
description OBJECTIVE: The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic. MATERIALS AND METHODS: We performed surgical procedures at Necmettin Erbakan University Faculty of Medicine, Department of Obstetrics and Gynecology between January 2013 and April 2014. Forty patients who underwent TLH (group 1) compared to 40 patients who underwent TAH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, the amount of blood loss, rates of complications and post operative hospital stay were compared for two groups. RESULTS: There were no statistically significant differences between the two groups regarding age, body mass index (BMI), specimen weight, pre-operative hemoglobin (Hb) value and rates of the complications. The mean post-operative Hb value was significantly higher in group 1 than group 2 (11.5±0.8 gr/dl vs. 10.8±1.7, p=0.02). The mean time of operation was significantly longer in group 1 than in group 2 (105.4±22.9 minutes vs. 74±18, p<0.001). The mean duration of hospital stay was statistically shorter in group 1 compared to the group 2 (2.48±0.6 days vs. 4.88±1.2, p<0.001). CONCLUSION: Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower peri-operative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity.
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spelling pubmed-55583662017-09-14 Comparison of total laparoscopic hysterectomy and abdominal hysterectomy Balcı, Osman Turk J Obstet Gynecol Clinical Investigation OBJECTIVE: The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic. MATERIALS AND METHODS: We performed surgical procedures at Necmettin Erbakan University Faculty of Medicine, Department of Obstetrics and Gynecology between January 2013 and April 2014. Forty patients who underwent TLH (group 1) compared to 40 patients who underwent TAH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, the amount of blood loss, rates of complications and post operative hospital stay were compared for two groups. RESULTS: There were no statistically significant differences between the two groups regarding age, body mass index (BMI), specimen weight, pre-operative hemoglobin (Hb) value and rates of the complications. The mean post-operative Hb value was significantly higher in group 1 than group 2 (11.5±0.8 gr/dl vs. 10.8±1.7, p=0.02). The mean time of operation was significantly longer in group 1 than in group 2 (105.4±22.9 minutes vs. 74±18, p<0.001). The mean duration of hospital stay was statistically shorter in group 1 compared to the group 2 (2.48±0.6 days vs. 4.88±1.2, p<0.001). CONCLUSION: Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower peri-operative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity. Galenos Publishing 2014-12 2014-12-15 /pmc/articles/PMC5558366/ /pubmed/28913025 http://dx.doi.org/10.4274/tjod.47108 Text en © Turkish Journal of Obstetrics and Gynecology published by Galenos Publishing House. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Investigation
Balcı, Osman
Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title_full Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title_fullStr Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title_full_unstemmed Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title_short Comparison of total laparoscopic hysterectomy and abdominal hysterectomy
title_sort comparison of total laparoscopic hysterectomy and abdominal hysterectomy
topic Clinical Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5558366/
https://www.ncbi.nlm.nih.gov/pubmed/28913025
http://dx.doi.org/10.4274/tjod.47108
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