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Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri

Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In...

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Autores principales: Krentel, Harald, De Wilde, Rudy Leon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606097/
https://www.ncbi.nlm.nih.gov/pubmed/29056970
http://dx.doi.org/10.1155/2017/1637472
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author Krentel, Harald
De Wilde, Rudy Leon
author_facet Krentel, Harald
De Wilde, Rudy Leon
author_sort Krentel, Harald
collection PubMed
description Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In particular, in comparison to abdominal hysterectomy, the minimally invasive methods have undoubted advantages for the patients. The main reason for a primary abdominal hysterectomy or conversion to abdominal hysterectomy during a minimal invasive approach is the uterine size. We describe our course of action in the retrospective analysis of five cases of total minimal-access hysterectomy, combining the laparoscopic subtotal hysterectomy and the vaginal extirpation of the cervix in uterine myomatosis with a uterine weight of more than 1000 grams, and discuss the factors that limit the use of laparoscopy in the treatment of big uteri. Trail Registration. The case report is registered in Research Registry under the UIN researchregistry743.
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spelling pubmed-56060972017-10-22 Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri Krentel, Harald De Wilde, Rudy Leon Case Rep Med Case Report Minimally invasive hysterectomy is a standard procedure. Different approaches, as laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy, and subtotal and total laparoscopic hysterectomy, have been described and evaluated by various investigations as safe and cost-effective methods. In particular, in comparison to abdominal hysterectomy, the minimally invasive methods have undoubted advantages for the patients. The main reason for a primary abdominal hysterectomy or conversion to abdominal hysterectomy during a minimal invasive approach is the uterine size. We describe our course of action in the retrospective analysis of five cases of total minimal-access hysterectomy, combining the laparoscopic subtotal hysterectomy and the vaginal extirpation of the cervix in uterine myomatosis with a uterine weight of more than 1000 grams, and discuss the factors that limit the use of laparoscopy in the treatment of big uteri. Trail Registration. The case report is registered in Research Registry under the UIN researchregistry743. Hindawi 2017 2017-09-06 /pmc/articles/PMC5606097/ /pubmed/29056970 http://dx.doi.org/10.1155/2017/1637472 Text en Copyright © 2017 Harald Krentel and Rudy Leon De Wilde. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Krentel, Harald
De Wilde, Rudy Leon
Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title_full Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title_fullStr Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title_full_unstemmed Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title_short Factors for a Successful Laparoscopic Hysterectomy in Very Large Uteri
title_sort factors for a successful laparoscopic hysterectomy in very large uteri
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606097/
https://www.ncbi.nlm.nih.gov/pubmed/29056970
http://dx.doi.org/10.1155/2017/1637472
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