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Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques
INTRODUCTION: Minimally invasive (MI) surgery has long been established as a standard for hysterectomy in benign conditions. Robotic surgery is generally seen as equivalent to conventional laparoscopy in terms of patient outcome. However, robotics might facilitate an MI approach even in complex pati...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984331/ https://www.ncbi.nlm.nih.gov/pubmed/36301346 http://dx.doi.org/10.1007/s00404-022-06821-9 |
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author | Buderath, Paul Kimmig, Rainer Dominowski, Lisa Mach, Pawel |
author_facet | Buderath, Paul Kimmig, Rainer Dominowski, Lisa Mach, Pawel |
author_sort | Buderath, Paul |
collection | PubMed |
description | INTRODUCTION: Minimally invasive (MI) surgery has long been established as a standard for hysterectomy in benign conditions. Robotic surgery is generally seen as equivalent to conventional laparoscopy in terms of patient outcome. However, robotics might facilitate an MI approach even in complex patients, rendering laparotomy unnecessary for almost all patients. MATERIALS AND METHODS: We identified 1939 patients who underwent hysterectomy for benign conditions between 2002 and 2020 at the University Hospital of Essen. Peri- and postoperative data as well as patient characteristics were collected retrospectively. RESULTS: Robotic surgery, implemented at our institution in 2010, was the most common approach (n = 771; 39.8%). 60.2% of all hysterectomies (1168/1938) were performed using MI techniques. However, there was a significant shift in the methods used for hysterectomy over time. While in 2002 51.4% of all hysterectomies were performed via an open abdominal approach, this percentage dropped to 1.4% in the year 2020. Accordingly, the use of MI approaches increased from 18.9% in 2002 to 98.6% in 2020. The introduction of robotic surgery in 2010 marked a significant shift towards more MI procedures. MI surgery resulted in shorter hospital stay and less postoperative complications compared to laparotomy. On a special note, our cohort includes the largest uterus myomatous uterus in the scientific literature with a specimen weight of 54.8 kg. CONCLUSION: Our data support the hypothesis that the implementation of robotic surgery leads to an improved capability to perform MI surgery and avoid laparotomy in almost all patients. The known benefits of MI surgery could be confirmed. |
format | Online Article Text |
id | pubmed-9984331 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-99843312023-03-05 Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques Buderath, Paul Kimmig, Rainer Dominowski, Lisa Mach, Pawel Arch Gynecol Obstet General Gynecology INTRODUCTION: Minimally invasive (MI) surgery has long been established as a standard for hysterectomy in benign conditions. Robotic surgery is generally seen as equivalent to conventional laparoscopy in terms of patient outcome. However, robotics might facilitate an MI approach even in complex patients, rendering laparotomy unnecessary for almost all patients. MATERIALS AND METHODS: We identified 1939 patients who underwent hysterectomy for benign conditions between 2002 and 2020 at the University Hospital of Essen. Peri- and postoperative data as well as patient characteristics were collected retrospectively. RESULTS: Robotic surgery, implemented at our institution in 2010, was the most common approach (n = 771; 39.8%). 60.2% of all hysterectomies (1168/1938) were performed using MI techniques. However, there was a significant shift in the methods used for hysterectomy over time. While in 2002 51.4% of all hysterectomies were performed via an open abdominal approach, this percentage dropped to 1.4% in the year 2020. Accordingly, the use of MI approaches increased from 18.9% in 2002 to 98.6% in 2020. The introduction of robotic surgery in 2010 marked a significant shift towards more MI procedures. MI surgery resulted in shorter hospital stay and less postoperative complications compared to laparotomy. On a special note, our cohort includes the largest uterus myomatous uterus in the scientific literature with a specimen weight of 54.8 kg. CONCLUSION: Our data support the hypothesis that the implementation of robotic surgery leads to an improved capability to perform MI surgery and avoid laparotomy in almost all patients. The known benefits of MI surgery could be confirmed. Springer Berlin Heidelberg 2022-10-27 2023 /pmc/articles/PMC9984331/ /pubmed/36301346 http://dx.doi.org/10.1007/s00404-022-06821-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | General Gynecology Buderath, Paul Kimmig, Rainer Dominowski, Lisa Mach, Pawel Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title | Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title_full | Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title_fullStr | Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title_full_unstemmed | Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title_short | Hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
title_sort | hysterectomy in benign conditions: a 20-year single-center retrospective on the development of surgical techniques |
topic | General Gynecology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9984331/ https://www.ncbi.nlm.nih.gov/pubmed/36301346 http://dx.doi.org/10.1007/s00404-022-06821-9 |
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