Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section: retrospective analysis
São Paulo med. j
;
136(5): 385-389, Sept.-Oct. 2018. tab
Artigo
em Inglês
| LILACS
| ID: biblio-979376
ABSTRACT
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 ANDSETTING:
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Cesárea
/
Laparoscopia
/
Histerectomia
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
2018
Tipo de documento:
Artigo
País de afiliação:
Turquia
Instituição/País de afiliação:
Health Sciences University Kanuni Sultan Suleyman Training and Research Hospital/TR
/
Kirikhan State Hospital/TR
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