Bangladesh Institute of Health science BIHS & Hospital

Dhaka, Bangladesh

Bangladesh Institute of Health science BIHS & Hospital

Dhaka, Bangladesh
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Jahan S.,Bangladesh Institute of Research and Rehabilitation in Diabetes | Jahan A.,Government Homeopathic College | Joarder M.,Research Training Management International | Habib S.H.,Health Economics Unit | And 2 more authors.
Asian journal of endoscopic surgery | Year: 2015

INTRODUCTION: The purpose of this study was to examine the safety and feasibility of laparoscopically assisted vaginal hysterectomy for uteri weighing more than 500 g as compared to uteri weighing less than 500 g in benign gynecological diseases.METHODS: This was a retrospective study. Patients were admitted through the outpatient department. They were divided into two groups: uterine weight ≥500 g (group 1) and uterine weight >500 g (group 2). There were no exclusion criteria based on the size, number, or location of leiomyomas. The patient characteristics for the two groups were compared in terms of demographic and socioeconomic details, operating time, amount of blood loss, requirement of blood transfusion, need for analgesia, and length of hospital stay.RESULTS: The characteristics age and BMI were well balanced between the two groups. Uterine weight was 267.2 ± 97.6 g in group 1 and 740.0 ± 371.4 g in group 2 (P < 0.001). Length of operation and amount of blood loss were greater in group 2 than in group 1 (operation: 89.1 ± 26.7 vs 73.3 ± 24.6 min, P < 0.01; blood loss: 570.5 ± 503.6 vs 262.5 ± 270.0 mL, P < 0.001). However, there was no significant difference in hospital stay or incidence of operative complications between the two groups. No patients were switched from laparoscopy to laparotomy during operation. The rate of blood transfusion was lower in group1 than in group 2 (4.9% vs 32.6%; P < 0.001).CONCLUSION: This study demonstrated that despite the increased operating time and blood loss, laparoscopy should be considered instead of laparotomy in cases of large uteri. Laparoscopically assisted vaginal hysterectomy can be performed safely for a large uterus. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.


PubMed | Bangladesh Institute of Research and Rehabilitation in Diabetes, Health Economics Unit, Bangladesh Institute of Health science BIHS & Hospital, Research Training Management International and Government Homeopathic College
Type: Evaluation Studies | Journal: Asian journal of endoscopic surgery | Year: 2015

The purpose of this study was to examine the safety and feasibility of laparoscopically assisted vaginal hysterectomy for uteri weighing more than 500g as compared to uteri weighing less than 500g in benign gynecological diseases.This was a retrospective study. Patients were admitted through the outpatient department. They were divided into two groups: uterine weight 500g (group1) and uterine weight >500g (group 2). There were no exclusion criteria based on the size, number, or location of leiomyomas. The patient characteristics for the two groups were compared in terms of demographic and socioeconomic details, operating time, amount of blood loss, requirement of blood transfusion, need for analgesia, and length of hospital stay.The characteristics age and BMI were well balanced between the two groups. Uterine weight was 267.297.6g in group 1 and 740.0371.4g in group 2 (P<0.001). Length of operation and amount of blood loss were greater in group 2 than in group 1 (operation: 89.126.7vs 73.324.6min, P<0.01; blood loss: 570.5503.6vs 262.5270.0mL, P<0.001). However, there was no significant difference in hospital stay or incidence of operative complications between the two groups. No patients were switched from laparoscopy to laparotomy during operation. The rate of blood transfusion was lower in group1 than in group 2 (4.9% vs 32.6%; P<0.001).This study demonstrated that despite the increased operating time and blood loss, laparoscopy should be considered instead of laparotomy in cases of large uteri. Laparoscopically assisted vaginal hysterectomy can be performed safely for a large uterus.

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