Evaluation of the outcomes of laparoscopic hysterectomy for normal and enlarged uterus (> 280 g)

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dc.contributor.authorYavuzcan, Ali
dc.contributor.authorÇağlar, Mete
dc.contributor.authorÜstün, Yusuf
dc.contributor.authorDilbaz, Serdar
dc.contributor.authorKumru, Selahattin
dc.date.accessioned2020-05-01T12:14:12Z
dc.date.available2020-05-01T12:14:12Z
dc.date.issued2014
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionKUMRU, Selahattin/0000-0001-6615-7666;en_US
dc.descriptionWOS: 000332955700022en_US
dc.descriptionPubMed: 24178482en_US
dc.description.abstractThe aim of this study was to evaluate intraoperative and postoperative outcomes of laparoscopic hysterectomy (LH) with routine intraoperative cystoscopy (CYS) for enlarged uterus (> 280 g). The patients, who underwent LH procedure in the Department of Obstetrics and Gynecology in Duzce University Faculty of Medicine between July 2012 and July 2013, were included in this study. Perioperative outcomes were compared between patients with and without enlarged uterus. Uterus weight of the operated patients ranges between 38 and 700 g. Mean uterus weight was 196.40 +/- A 142.32 g. Although we found longer operation time (148.75 +/- A 32.37 vs. 128.28 +/- A 27.58) and higher delta hemoglobin (2.98 +/- A 3.09 vs. 1.61 +/- A 1.29) in patients with enlarged uterus undergoing LH, these findings were not statistically significant (p = 0.077 and 0.058). No significant difference was found between the two groups in terms of need for insertion of pelvic drainage (p = 0.664), duration of bladder catheterization (p = 0.673), time of first postoperative flatus (p = 0.509) and the duration of hospitalization (p = 0.844). None of the patients had postoperative fever. The two groups were not significantly different in terms of postoperative body temperature (p = 0.736). In normal uterus group, 1 patient developed ureterovaginal fistula and 1 patient required re-operation. No major complication was observed in large uterus group. In our study, we compared the outcomes of LH in patients with large uterus measuring up to 700 g. and patients with normal uterus, and we achieved successful results by making minor changes in the operation technique and performing diagnostic CYS at the end of the operation.en_US
dc.identifier.doi10.1007/s00404-013-3065-8en_US
dc.identifier.endpage837en_US
dc.identifier.issn0932-0067
dc.identifier.issn1432-0711
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage831en_US
dc.identifier.urihttps://doi.org/10.1007/s00404-013-3065-8
dc.identifier.urihttps://hdl.handle.net/20.500.12684/6326
dc.identifier.volume289en_US
dc.identifier.wosWOS:000332955700022en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofArchives Of Gynecology And Obstetricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEnlarged uterusen_US
dc.subjectHysterectomyen_US
dc.subjectLaparoscopicen_US
dc.subjectOutcomesen_US
dc.titleEvaluation of the outcomes of laparoscopic hysterectomy for normal and enlarged uterus (> 280 g)en_US
dc.typeArticleen_US

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