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Laparoscopic hysterectomy with retroperitoneal uterine artery sealing using LigaSure™: Gazi hospital experience

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Abstract

Objective

The aim of this study was to evaluate the efficacy and safety of laparoscopic hysterectomy by retroperitoneal sealing of the uterine arteries with LigaSure™.

Methods

Laparoscopic hysterectomy by retroperitoneal uterine artery sealing with LigaSure was performed by four-puncture laparoscopy in 50 women with various indications for hysterectomy. The mean operation time, amount of intraoperative bleeding, drop in hemoglobin concentration, weight of removed uterus, major and minor per-post operative complications, and the rate of conversion to classical abdominal approach were analyzed prospectively.

Results

The mean operation time was 85 min (range 60–125 min). The mean weight of removed uterus was 180 g (range 60–650 g). There was one major complication; one patient had cystotomy due to difficulty in dissecting severe adhesions because of two previous cesarean sections that were repaired laparoscopically. Only one patient converted to laparotomy because of severe bowel adhesions due to rectovaginal endometriosis. All patients were discharged on the first postoperative day. No minor complications occured. Hemoglobin decreased a mean of 0.4 g/dl (range 0.2–1.4 g/dl) by postoperative day 1.

Conclusion

Laparoscopic hysterectomy by retroperitoneal uterine artery sealing with LigaSure is an effective, safe, and fast procedure with less intra operative bleeding, short operation time and hospital stay.

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References

  1. Marana R, Busaca M, Zupi E, Garcea N, Paparella P, Catalano GF (1999) Laparascopically asisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study. Am J Obstet Gynecol 180:270–275

    Article  PubMed  CAS  Google Scholar 

  2. Summitt R, Stovall T, Lipscombr S, Lire F (1992) Randomized comparison of laparoscopic assisted vaginal hysterectomy with standard vaginal hysterectomy in an outpatient Setting. Obstet Gynecol 80:895–901

    PubMed  Google Scholar 

  3. Schwartz R (1993) Complications of laparoscopic hysterectomy. Obstet Gynecol 81:1022–1025

    PubMed  CAS  Google Scholar 

  4. Darai E, Soriano D, Kimata P, Laplace C, Lecuru F (2001) Vaginal hysterectomy for enlarged uteri, with or without laparoscopic assistance: randomized study. Obstet Gynecol 97:712–716

    Article  PubMed  CAS  Google Scholar 

  5. Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R (2006) Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 19(2):CD003677

    Google Scholar 

  6. Kohler C, Hasenbein K, Klemm P, Tozzi R, Schneider A (2003) Laparoscopic-assisted vaginal hysterectomy with lateral transsection of the uterine vessels. Surg Endosc 17:485–490

    Article  PubMed  CAS  Google Scholar 

  7. Song J, Cho SJ, Park CS, Kim SH, Ku PS, Lee MA (1998) Two uterine arterial management methods in laparoscopic hysterectomy. Obstet Gynaecol Res 24:145–151

    Article  CAS  Google Scholar 

  8. Chang WC, Torng PL, Huang SC, Sheu BC, Hsu WC, Chen RJ, Chow SN, Chang DYJ (2005) Laparoscopic-assisted vaginal hysterectomy with uterine artery ligation through retrograde umbilical ligament tracking. Minim Invasive Gynecol 12:336–342

    Article  Google Scholar 

  9. Dubuc-Lissoir J (2003) Use of a new energy-based vessel ligation device during laparoscopic gynecologic oncologic surgery. Surg Endosc 17:466–468

    Article  PubMed  CAS  Google Scholar 

  10. Nezhat F, Nezhat C, Admon D (1995) Complications and results of 361 hysterectomies performed at laparoscopy. J Am Coll Surg 180:307–316

    PubMed  CAS  Google Scholar 

  11. Richardson R, Bournas N, Magos A (1995) Is laparoscopic hysterectomy a waste of time? Lancet 345:36–41

    Article  PubMed  CAS  Google Scholar 

  12. Olsson J-H, Ellstro M, Hahlin M (1996) A randomised prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynecol 103:345–350

    CAS  Google Scholar 

  13. Summitt R, Stovall T, Steege J, Lipscomb G (1998) A multicenter randomised comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy in abdominal hysterectomy candidates. Obstet Gynecol 92:321–326

    Article  PubMed  Google Scholar 

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Acknowledgment

I would like to thank my teacher Prof. Achim Schneider and my friend Christhardt for teaching me the real laparoscopy and for making me feel addicted to the wonderful world of endoscopy.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Gazi Hospital, 1421 str., Kahramanlar, Izmir, Turkey

    Mert Gol, Aysen Kizilyar & Mustafa Eminoglu

Authors
  1. Mert Gol
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  2. Aysen Kizilyar
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  3. Mustafa Eminoglu
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Corresponding author

Correspondence to Mert Gol.

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Gol, M., Kizilyar, A. & Eminoglu, M. Laparoscopic hysterectomy with retroperitoneal uterine artery sealing using LigaSure™: Gazi hospital experience. Arch Gynecol Obstet 276, 311–314 (2007). https://doi.org/10.1007/s00404-007-0353-1

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  • DOI: https://doi.org/10.1007/s00404-007-0353-1

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