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Laparoscopic Hysterectomy

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Handbook of Gynecology
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Abstract

Laparoscopic hysterectomy refers to surgical removal of the uterus using minimally invasive techniques. Advances in the field of minimally invasive gynecology have allowed laparoscopic hysterectomy to become the most commonly performed surgery on nonpregnant women in the United States for a wide variety of indications. As such, it is important for surgeons to understand the fundamentals of minimally invasive techniques, common pitfalls, and strategies for success.

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References

  • Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, Kluivers KB. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;8:CD003677.

    Google Scholar 

  • Adelman MR, Bardsley TR, Sharp HT. Urinary tract injuries in laparoscopic hysterectomy: a systematic review. J Minim Invasive Gynecol. 2014;21(4):558–66.

    Article  PubMed  Google Scholar 

  • Ahmad G, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2008;2:CD006583.

    Google Scholar 

  • Aletti GD, Dowdy SC, Podratz KC, Cliby WA. Relationship among surgical complexity, short-term morbidity, and overall survival in primary surgery for advanced ovarian cancer. Am J Obstet Gynecol. 2007;197(6):676 e671-677.

    Article  Google Scholar 

  • As-Sanie S, Till SR, Mowers EL, Lim CS, Skinner BD, Fritsch L, Tsodikov A, Dalton VK, Clauw DJ, Brummett CM. Opioid prescribing patterns, patient use, and postoperative pain after hysterectomy for benign indications. Obstet Gynecol. 2017;130(6):1261–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Barber EL, Neubauer NL, Gossett DR. Risk of venous thromboembolism in abdominal versus minimally invasive hysterectomy for benign conditions. Am J Obstet Gynecol. 2015;212(5):609 e601-607.

    Article  Google Scholar 

  • Burnham W. Extirpation of the uterus and ovaries for sarcomatous disease. Lancet. 1984;8:147–51.

    Google Scholar 

  • Chapron C, Fauconnier A, Goffinet F, Breart G, Dubuisson JB. Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology. Results of a meta-analysis. Hum Reprod. 2002;17(5):1334–42.

    Article  CAS  PubMed  Google Scholar 

  • Chapron C, Vannuccini S, Santulli P, Abrao MS, Carmona F, Fraser IS, Gordts S, Guo SW, Just PA, Noel JC, Pistofidis G, Van den Bosch T, Petraglia F. Diagnosing adenomyosis: an integrated clinical and imaging approach. Hum Reprod Update. 2020;26(3):392–411.

    Article  PubMed  Google Scholar 

  • Chohan L, Kilpatrick CC. Laparoscopy in pregnancy: a literature review. Clin Obstet Gynecol. 2009;52(4):557–69.

    Article  PubMed  Google Scholar 

  • Falconer H, Yin L, Gronberg H, Altman D. Ovarian cancer risk after salpingectomy: a nationwide population-based study. J Natl Cancer Inst. 2015;107:2.

    Article  Google Scholar 

  • Fingar K, Stocks C, Weiss AJ, Steiner CA. Most frequent operating room procedures performed in U.S. hospitals 2003–2012. Statistical Brief #187: Healthcare cost and utilization project (HCUP) statistical brief, 2014.

    Google Scholar 

  • Frankman EA, Wang L, Bunker CH, Lowder JL. Lower urinary tract injury in women in the United States, 1979-2006. Am J Obstet Gynecol. 2010;202(5):495 e491-495.

    Article  Google Scholar 

  • Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, Clayton R, Phillips G, Whittaker M, Lilford R, Bridgman S, Brown J. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004;328(7432):129.

    Article  PubMed  PubMed Central  Google Scholar 

  • Glaser LM, Milad MP. Bowel and bladder injury repair and follow-up after gynecologic surgery. Obstet Gynecol. 2019;133(2):313–22.

    Article  PubMed  Google Scholar 

  • Guo XM, Runge M, Miller D, Aaby D, Milad M. A bundled intervention lowers surgical site infection in hysterectomy for benign and malignant indications. Int J Gynaecol Obstet. 2020;150(3):392–7.

    Article  PubMed  Google Scholar 

  • Hortman C, Chung S. Positioning considerations in robotic surgery. AORN J. 2015;102(4):434–9; quiz 440

    Article  PubMed  Google Scholar 

  • Hur HC, Donnellan N, Mansuria S, Barber RE, Guido R, Lee T. Vaginal cuff dehiscence after different modes of hysterectomy. Obstet Gynecol. 2011;118(4):794–801.

    Article  PubMed  Google Scholar 

  • Johnson MP, Kim SJ, Langstraat CL, Jain S, Habermann EB, Wentink JE, Grubbs PL, Nehring SA, Weaver AL, McGree ME, Cima RR, Dowdy SC, Bakkum-Gamez JN. Using bundled interventions to reduce surgical site infection after major gynecologic cancer surgery. Obstet Gynecol. 2016;127(6):1135–44.

    Article  PubMed  Google Scholar 

  • Korsholm M, Mogensen O, Jeppesen MM, Lysdal VK, Traen K, Jensen PT. Systematic review of same-day discharge after minimally invasive hysterectomy. Int J Gynaecol Obstet. 2017;136(2):128–37.

    Article  PubMed  Google Scholar 

  • Krishnakumar S, Tambe P. Entry complications in laparoscopic surgery. J Gynecol Endosc Surg. 2009;1(1):4–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lee J, Asher V, Nair A, White V, Brocklehurst C, Traves M, Bali A. Comparing the experience of enhanced recovery programme for gynaecological patients undergoing laparoscopic versus open gynaecological surgery: a prospective study. Perioper Med (Lond). 2018;7:15.

    Article  PubMed  Google Scholar 

  • Leung F, Terzibachian JJ, Gay C, Chung Fat B, Aouar Z, Lassabe C, Maillet R, Riethmuller D. Hysterectomies performed for presumed leiomyomas: should the fear of leiomyosarcoma make us apprehend non laparotomic surgical routes? Gynecol Obstet Fertil. 2009;37(2):109–14.

    Article  CAS  PubMed  Google Scholar 

  • Lonnerfors C, Reynisson P, Persson J. A randomized trial comparing vaginal and laparoscopic hysterectomy vs robot-assisted hysterectomy. J Minim Invasive Gynecol. 2015;22(1):78–86.

    Article  PubMed  Google Scholar 

  • Makinen J, Brummer T, Jalkanen J, Heikkinen AM, Fraser J, Tomas E, Harkki P, Sjoberg J. Ten years of progress–improved hysterectomy outcomes in Finland 1996-2006: a longitudinal observation study. BMJ Open. 2013;3(10):e003169.

    Article  PubMed  PubMed Central  Google Scholar 

  • Manoucheri E, Cohen SL, Sandberg EM, Kibel AS, Einarsson J. Ureteral injury in laparoscopic gynecologic surgery. Rev Obstet Gynecol. 2012;5(2):106–11.

    PubMed  PubMed Central  Google Scholar 

  • McMahon MD, Scott DM, Saks E, Tower A, Raker CA, Matteson KA. Impact of obesity on outcomes of hysterectomy. J Minim Invasive Gynecol. 2014;21(2):259–65.

    Article  PubMed  Google Scholar 

  • Molloy D, Kaloo PD, Cooper M, Nguyen TV. Laparoscopic entry: a literature review and analysis of techniques and complications of primary port entry. Aust N Z J Obstet Gynaecol. 2002;42(3):246–54.

    Article  PubMed  Google Scholar 

  • Mowers EL, Lim CS, Skinner B, Mahnert N, Kamdar N, Morgan DM, As-Sanie S. Prevalence of endometriosis during abdominal or laparoscopic hysterectomy for chronic pelvic pain. Obstet Gynecol. 2016;127(6):1045–53.

    Article  PubMed  Google Scholar 

  • Ozdemir E, Ozturk U, Celen S, Sucak A, Gunel M, Guney G, Imamoglu MA, Danisman AN. Urinary complications of gynecologic surgery: iatrogenic urinary tract system injuries in obstetrics and gynecology operations. Clin Exp Obstet Gynecol. 2011;38(3):217–20.

    CAS  PubMed  Google Scholar 

  • Paparella P, Sizzi O, Rossetti A, De Benedittis F, Paparella R. Vaginal hysterectomy in generally considered contraindications to vaginal surgery. Arch Gynecol Obstet. 2004;270(2):104–9.

    Article  PubMed  Google Scholar 

  • Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989;5:213.

    Article  Google Scholar 

  • Schwartz MJ, Faiena I, Cinman N, Kucharczyk J, Meriggi JS, Waingankar N, Richstone L, Kavoussi LR. Laparoscopic bowel injury in retroperitoneal surgery: current incidence and outcomes. J Urol. 2010;184(2):589–94.

    Article  PubMed  Google Scholar 

  • Song T, Cho J, Kim TJ, Kim IR, Hahm TS, Kim BG, Bae DS. Cosmetic outcomes of laparoendoscopic single-site hysterectomy compared with multi-port surgery: randomized controlled trial. J Minim Invasive Gynecol. 2013;20(4):460–7.

    Article  PubMed  Google Scholar 

  • Tulandi T, Leung A, Jan N. Nonmalignant sequelae of unconfined Morcellation at laparoscopic hysterectomy or myomectomy. J Minim Invasive Gynecol. 2016;23(3):331–7.

    Article  PubMed  Google Scholar 

  • Vretzakis G, Bareka M, Aretha D, Karanikolas M. Regional anesthesia for laparoscopic surgery: a narrative review. J Anesth. 2014;28(3):429–46.

    Article  PubMed  Google Scholar 

  • Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, Marchbanks PA. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol. 2008;198(1):34 e31-37.

    Article  Google Scholar 

  • Wright KN, Jonsdottir GM, Jorgensen S, Shah N, Einarsson JI. Costs and outcomes of abdominal, vaginal, laparoscopic and robotic hysterectomies. JSLS. 2012;16(4):519–24.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, Neugut AI, Hershman DL. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol. 2013;122(2 Pt 1):233–41.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Varun U. Khetan .

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Khetan, V.U., Reinert, A.E. (2023). Laparoscopic Hysterectomy. In: Shoupe, D. (eds) Handbook of Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-031-14881-1_96

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  • DOI: https://doi.org/10.1007/978-3-031-14881-1_96

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-14880-4

  • Online ISBN: 978-3-031-14881-1

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