The effect of adenomyosis on the outcomes of laparoscopic hysterectomy

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dc.contributor.authorYavuzcan, Ali
dc.contributor.authorBaşbuğ, Alper
dc.contributor.authorBastan, Merve
dc.contributor.authorÇağlar, Mete
dc.contributor.authorÖzdemir, İsmail
dc.date.accessioned2020-04-30T23:32:49Z
dc.date.available2020-04-30T23:32:49Z
dc.date.issued2016
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000391064900008en_US
dc.descriptionPubMed: 27651723en_US
dc.description.abstractObjective: The presence of adenomyosis (ADS) may increase complication rates associated with laparoscopic hysterectomy (LH) due to an increased weight of the uterus, increased vascularization of the uterus, impaired myometrial tissue, and presence of additional gynecological pathologies such as leiomyoma or endometriosis. The aim of the present study was to evaluate perioperative and early postoperative parameters in patients with or without adenomyotic lesions. Material and Methods: The study included patients who underwent LH in a university hospital. Patient data were retrieved from the hospital records and reviewed retrospectively. Sixty-one patients (85.9%) without adenomyotic lesions comprised the control group. Ten patients with adenomyotic lesions (14.1%) were regarded as the study group. Results: In this study, the mean age of the patients was 50.93+/-9.39 years. The mean uterus size was significantly higher in patients with ADS (p=0.02). There was no statistically significant difference in perioperative variables such as delta hemoglobin (Hb), insertion of pelvic drainage catheter, and invasive assessment of the urinary tract between both the groups (p=0.27, p=1.0, and p=0.67, respectively). The difference between the groups in terms of postoperative blood transfusion was not statistically significant (p=0.25). There was no statistically significant difference in the postoperative maximum body temperature, length of hospital stay, and duration of urinary catheterization between both the groups (p=0.77, p=0.36, and p=0.75, respectively). Conclusion: LH appears to be a safe alternative for patients with ADS. Large-scale, prospective, and randomized trials are required in order to suggest the routine use of LH in patients preoperatively diagnosed with ADS.en_US
dc.identifier.doi10.5152/jtgga.2016.16073en_US
dc.identifier.endpage154en_US
dc.identifier.issn1309-0399
dc.identifier.issn1309-0380
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage150en_US
dc.identifier.urihttps://doi.org/10.5152/jtgga.2016.16073
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4826
dc.identifier.volume17en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofJournal Of The Turkish-German Gynecological Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdenomyosisen_US
dc.subjectlaparoscopic hysterectomyen_US
dc.subjectoutcomesen_US
dc.titleThe effect of adenomyosis on the outcomes of laparoscopic hysterectomyen_US
dc.typeArticleen_US

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