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Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy

OBJECTIVE: The advantages of laparoscopic surgery used in the treatment of ectopic pregnancy is well-known; however, the efficacy of uterine manipulators remains unknown. In this study, we aimed to investigate the efficacy of uterine manipulators in the laparoscopic treatment of ectopic pregnancy. M...

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Autores principales: Beyan, Emrah, Kanmaz, Ahkam Goksel, Budak, Adnan, Emirdar, Volkan, Tutar, Sadettin Oguzhan, Inan, Abdurrahman Hamdi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Professional Medical Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994866/
https://www.ncbi.nlm.nih.gov/pubmed/32063941
http://dx.doi.org/10.12669/pjms.36.2.1294
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author Beyan, Emrah
Kanmaz, Ahkam Goksel
Budak, Adnan
Emirdar, Volkan
Tutar, Sadettin Oguzhan
Inan, Abdurrahman Hamdi
author_facet Beyan, Emrah
Kanmaz, Ahkam Goksel
Budak, Adnan
Emirdar, Volkan
Tutar, Sadettin Oguzhan
Inan, Abdurrahman Hamdi
author_sort Beyan, Emrah
collection PubMed
description OBJECTIVE: The advantages of laparoscopic surgery used in the treatment of ectopic pregnancy is well-known; however, the efficacy of uterine manipulators remains unknown. In this study, we aimed to investigate the efficacy of uterine manipulators in the laparoscopic treatment of ectopic pregnancy. METHODS: Overall, 118 patients who underwent laparoscopy due to ectopic pregnancy in Department of Obstetrics and Gynaecology at Tepecik Education and Research Hospital between January 2010 and January 2018 and who met the inclusion criteria were included in the study. Groups of patients undergoing surgery with or without the use of a uterine manipulator were compared in terms of demographic data, operative and postoperative results. RESULTS: No difference was noted between the groups in terms of age, parity, body mass index, smoking, side of ectopic pregnancy mass, previous operations and pregnancy type. However, the size of ectopic pregnancy mass measured by ultrasonography was significantly larger (p = 0.006) and the operation time was significantly shorter (p<0.001) in the group where uterine manipulators were not used than in the uterine manipulator group. CONCLUSION: We concluded that not using a uterine manipulator in laparoscopic procedures for ectopic pregnancy did not increase operative complications and that operation time was higher in procedures using uterine manipulators.
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spelling pubmed-69948662020-02-14 Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy Beyan, Emrah Kanmaz, Ahkam Goksel Budak, Adnan Emirdar, Volkan Tutar, Sadettin Oguzhan Inan, Abdurrahman Hamdi Pak J Med Sci Original Article OBJECTIVE: The advantages of laparoscopic surgery used in the treatment of ectopic pregnancy is well-known; however, the efficacy of uterine manipulators remains unknown. In this study, we aimed to investigate the efficacy of uterine manipulators in the laparoscopic treatment of ectopic pregnancy. METHODS: Overall, 118 patients who underwent laparoscopy due to ectopic pregnancy in Department of Obstetrics and Gynaecology at Tepecik Education and Research Hospital between January 2010 and January 2018 and who met the inclusion criteria were included in the study. Groups of patients undergoing surgery with or without the use of a uterine manipulator were compared in terms of demographic data, operative and postoperative results. RESULTS: No difference was noted between the groups in terms of age, parity, body mass index, smoking, side of ectopic pregnancy mass, previous operations and pregnancy type. However, the size of ectopic pregnancy mass measured by ultrasonography was significantly larger (p = 0.006) and the operation time was significantly shorter (p<0.001) in the group where uterine manipulators were not used than in the uterine manipulator group. CONCLUSION: We concluded that not using a uterine manipulator in laparoscopic procedures for ectopic pregnancy did not increase operative complications and that operation time was higher in procedures using uterine manipulators. Professional Medical Publications 2020 /pmc/articles/PMC6994866/ /pubmed/32063941 http://dx.doi.org/10.12669/pjms.36.2.1294 Text en Copyright: © Pakistan Journal of Medical Sciences http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Beyan, Emrah
Kanmaz, Ahkam Goksel
Budak, Adnan
Emirdar, Volkan
Tutar, Sadettin Oguzhan
Inan, Abdurrahman Hamdi
Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title_full Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title_fullStr Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title_full_unstemmed Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title_short Uterine manipulator requirement in laparoscopic surgery of Ectopic Pregnancy
title_sort uterine manipulator requirement in laparoscopic surgery of ectopic pregnancy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6994866/
https://www.ncbi.nlm.nih.gov/pubmed/32063941
http://dx.doi.org/10.12669/pjms.36.2.1294
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