Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis
Main Author: | |
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Publication Date: | 2018 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | São Paulo medical journal (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000500385 |
Summary: | ABSTRACT BACKGROUND: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. DESIGN AND SETTING: Retrospective analysis in a tertiary-level center. METHODS: The medical records of 504 total laparoscopic hysterectomy patients operated between May 2013 and May 2017 were reviewed retrospectively. Data on age, parity, surgical indications, duration of operation, length of hospital stay, histopathological diagnosis and major intra and postoperative complications were gathered. The patients were categorized into two groups according to their CS history, namely those with and those without previous CS. Major complications were defined as the presence of lower urinary tract injury (bladder or ureter injury), enterotomy/colostomy, bowel serosal injury or vascular injury. RESULTS: There was no difference between the groups in terms of parity, duration of operation, hospital stay or pre and postoperative hemoglobin levels. The conversion rates to laparotomy in the previous CS and no CS groups were 2% and 1.7%, respectively. The rates of major complications in the previous CS and no CS groups were 5% and 1.3%, respectively, and these results did not differ significantly (P > 0.05). CONCLUSION: TLH could be performed safely in the previous CS group, since the complication rate was not different from that of the patients without previous CS. |
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Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysisLaparoscopyHysterectomyCesarean sectionPostoperative complicationsABSTRACT BACKGROUND: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. DESIGN AND SETTING: Retrospective analysis in a tertiary-level center. METHODS: The medical records of 504 total laparoscopic hysterectomy patients operated between May 2013 and May 2017 were reviewed retrospectively. Data on age, parity, surgical indications, duration of operation, length of hospital stay, histopathological diagnosis and major intra and postoperative complications were gathered. The patients were categorized into two groups according to their CS history, namely those with and those without previous CS. Major complications were defined as the presence of lower urinary tract injury (bladder or ureter injury), enterotomy/colostomy, bowel serosal injury or vascular injury. RESULTS: There was no difference between the groups in terms of parity, duration of operation, hospital stay or pre and postoperative hemoglobin levels. The conversion rates to laparotomy in the previous CS and no CS groups were 2% and 1.7%, respectively. The rates of major complications in the previous CS and no CS groups were 5% and 1.3%, respectively, and these results did not differ significantly (P > 0.05). CONCLUSION: TLH could be performed safely in the previous CS group, since the complication rate was not different from that of the patients without previous CS.Associação Paulista de Medicina - APM2018-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000500385Sao Paulo Medical Journal v.136 n.5 2018reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2018.0197030718info:eu-repo/semantics/openAccessKoroglu,NadiyeCetin,Berna AslanTuran,GokceYıldırım,Gonca YetkinAkca,AysuGedikbasi,Alieng2018-12-17T00:00:00Zoai:scielo:S1516-31802018000500385Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2018-12-17T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
title |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
spellingShingle |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis Koroglu,Nadiye Laparoscopy Hysterectomy Cesarean section Postoperative complications |
title_short |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
title_full |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
title_fullStr |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
title_full_unstemmed |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
title_sort |
Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis |
author |
Koroglu,Nadiye |
author_facet |
Koroglu,Nadiye Cetin,Berna Aslan Turan,Gokce Yıldırım,Gonca Yetkin Akca,Aysu Gedikbasi,Ali |
author_role |
author |
author2 |
Cetin,Berna Aslan Turan,Gokce Yıldırım,Gonca Yetkin Akca,Aysu Gedikbasi,Ali |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Koroglu,Nadiye Cetin,Berna Aslan Turan,Gokce Yıldırım,Gonca Yetkin Akca,Aysu Gedikbasi,Ali |
dc.subject.por.fl_str_mv |
Laparoscopy Hysterectomy Cesarean section Postoperative complications |
topic |
Laparoscopy Hysterectomy Cesarean section Postoperative complications |
description |
ABSTRACT BACKGROUND: The number of hysterectomized patients with previous cesarean sections (CSs) has increased due to increasing CS rates. A previous history of CS has been demonstrated to be an important risk factor for major complications in total laparoscopic hysterectomy. The aim here was to evaluate the major complications and safety of TLH in patients with previous CS. DESIGN AND SETTING: Retrospective analysis in a tertiary-level center. METHODS: The medical records of 504 total laparoscopic hysterectomy patients operated between May 2013 and May 2017 were reviewed retrospectively. Data on age, parity, surgical indications, duration of operation, length of hospital stay, histopathological diagnosis and major intra and postoperative complications were gathered. The patients were categorized into two groups according to their CS history, namely those with and those without previous CS. Major complications were defined as the presence of lower urinary tract injury (bladder or ureter injury), enterotomy/colostomy, bowel serosal injury or vascular injury. RESULTS: There was no difference between the groups in terms of parity, duration of operation, hospital stay or pre and postoperative hemoglobin levels. The conversion rates to laparotomy in the previous CS and no CS groups were 2% and 1.7%, respectively. The rates of major complications in the previous CS and no CS groups were 5% and 1.3%, respectively, and these results did not differ significantly (P > 0.05). CONCLUSION: TLH could be performed safely in the previous CS group, since the complication rate was not different from that of the patients without previous CS. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000500385 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802018000500385 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2018.0197030718 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.136 n.5 2018 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209266196021248 |