Objective: To compare the outcome of patients with uteri > 250 gm who had minimally invasive hysterectomy (MIH) to those who had abdominal hysterectomy (AH) using the LigaSure, stratify complications based on the uterine weight and report follow-up of patients who had vaginal morcellation. Study Design: A retrospective cohort study comparing patients with uteri > 250 gms who underwent vaginal hysterectomy (VH), laparoscopically assisted vaginal hysterectomy (LAVH) and robotic total laparoscopic hysterectomy (RTLH) to those who underwent AH. In both groups the LigaSure was used. Patients who had vaginal morcellation were followed-up. Results: A total of 166 patients were included: 10 patients had VH, 81 patients had LAVH, 22 patients had RTLH, and 53 patients had AH. Six (5%) MIH were converted to AH. Sixty-four percent of patients who needed hysterectomy were able to have successful MIH. Both groups were similar regarding age, American Society of Anesthesiologists score, previous laparotomy, previous C sections, body mass index, estimated blood loss, operative and postoperative complications, and final pathology report. The conversion and complication rates increased with uterine weight > 1000 gm. Patients who had AH had larger uteri and stayed in the hospital longer than those who had MIH. Thirty patients had vaginal morcellation with no consequences. Conclusion: Most patients with a large uterus could have save MIH with shorter hospital stay. Conversion and complications increase for uteri larger than 1000 gm. Vaginal morcellation had no consequences and the use of LigaSure provided adequate hemostasis.
| Published in | Journal of Gynecology and Obstetrics (Volume 10, Issue 4) |
| DOI | 10.11648/j.jgo.20221004.17 |
| Page(s) | 203-210 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Hysterectomy, Minimally Invasive, Laparoscopic, Robotic, Uterine Weight, Large Uterus
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APA Style
Gamal Hassan Eltabbakh, Samantha Gregoire, Georgia Danine Eltabbakh. (2022). Minimally Invasive Hysterectomy for the Large Uterus Using the LigaSure. Journal of Gynecology and Obstetrics, 10(4), 203-210. https://doi.org/10.11648/j.jgo.20221004.17
ACS Style
Gamal Hassan Eltabbakh; Samantha Gregoire; Georgia Danine Eltabbakh. Minimally Invasive Hysterectomy for the Large Uterus Using the LigaSure. J. Gynecol. Obstet. 2022, 10(4), 203-210. doi: 10.11648/j.jgo.20221004.17
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Download@article{10.11648/j.jgo.20221004.17,
author = {Gamal Hassan Eltabbakh and Samantha Gregoire and Georgia Danine Eltabbakh},
title = {Minimally Invasive Hysterectomy for the Large Uterus Using the LigaSure},
journal = {Journal of Gynecology and Obstetrics},
volume = {10},
number = {4},
pages = {203-210},
doi = {10.11648/j.jgo.20221004.17},
url = {https://doi.org/10.11648/j.jgo.20221004.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221004.17},
abstract = {Objective: To compare the outcome of patients with uteri > 250 gm who had minimally invasive hysterectomy (MIH) to those who had abdominal hysterectomy (AH) using the LigaSure, stratify complications based on the uterine weight and report follow-up of patients who had vaginal morcellation. Study Design: A retrospective cohort study comparing patients with uteri > 250 gms who underwent vaginal hysterectomy (VH), laparoscopically assisted vaginal hysterectomy (LAVH) and robotic total laparoscopic hysterectomy (RTLH) to those who underwent AH. In both groups the LigaSure was used. Patients who had vaginal morcellation were followed-up. Results: A total of 166 patients were included: 10 patients had VH, 81 patients had LAVH, 22 patients had RTLH, and 53 patients had AH. Six (5%) MIH were converted to AH. Sixty-four percent of patients who needed hysterectomy were able to have successful MIH. Both groups were similar regarding age, American Society of Anesthesiologists score, previous laparotomy, previous C sections, body mass index, estimated blood loss, operative and postoperative complications, and final pathology report. The conversion and complication rates increased with uterine weight > 1000 gm. Patients who had AH had larger uteri and stayed in the hospital longer than those who had MIH. Thirty patients had vaginal morcellation with no consequences. Conclusion: Most patients with a large uterus could have save MIH with shorter hospital stay. Conversion and complications increase for uteri larger than 1000 gm. Vaginal morcellation had no consequences and the use of LigaSure provided adequate hemostasis.},
year = {2022}
}
TY - JOUR T1 - Minimally Invasive Hysterectomy for the Large Uterus Using the LigaSure AU - Gamal Hassan Eltabbakh AU - Samantha Gregoire AU - Georgia Danine Eltabbakh Y1 - 2022/08/10 PY - 2022 N1 - https://doi.org/10.11648/j.jgo.20221004.17 DO - 10.11648/j.jgo.20221004.17 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 203 EP - 210 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20221004.17 AB - Objective: To compare the outcome of patients with uteri > 250 gm who had minimally invasive hysterectomy (MIH) to those who had abdominal hysterectomy (AH) using the LigaSure, stratify complications based on the uterine weight and report follow-up of patients who had vaginal morcellation. Study Design: A retrospective cohort study comparing patients with uteri > 250 gms who underwent vaginal hysterectomy (VH), laparoscopically assisted vaginal hysterectomy (LAVH) and robotic total laparoscopic hysterectomy (RTLH) to those who underwent AH. In both groups the LigaSure was used. Patients who had vaginal morcellation were followed-up. Results: A total of 166 patients were included: 10 patients had VH, 81 patients had LAVH, 22 patients had RTLH, and 53 patients had AH. Six (5%) MIH were converted to AH. Sixty-four percent of patients who needed hysterectomy were able to have successful MIH. Both groups were similar regarding age, American Society of Anesthesiologists score, previous laparotomy, previous C sections, body mass index, estimated blood loss, operative and postoperative complications, and final pathology report. The conversion and complication rates increased with uterine weight > 1000 gm. Patients who had AH had larger uteri and stayed in the hospital longer than those who had MIH. Thirty patients had vaginal morcellation with no consequences. Conclusion: Most patients with a large uterus could have save MIH with shorter hospital stay. Conversion and complications increase for uteri larger than 1000 gm. Vaginal morcellation had no consequences and the use of LigaSure provided adequate hemostasis. VL - 10 IS - 4 ER -
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