Laparoscopic management of bladder injury during total laparoscopic hysterectomy

2020 ◽  
Vol 74 (6) ◽  
Author(s):  
Cemil Aydin ◽  
Mehmet N. Mercimek
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Bladder Injury ◽  
Laparoscopic Management

scholarly journals Trends and patterns in total laparoscopic hysterectomy in tertiary care hospital

2018 ◽  
Vol 7 (6) ◽  
pp. 2170
Author(s):  
Sonali Ingole ◽  
Sameer Darawade
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Bladder Injury ◽  
Care Hospital ◽  
Estimated Blood Loss ◽  
The Mean

Background: Due to technical advances in the field of laparoscopy, there has been an increase in total laparoscopic hysterectomies all over the world in last decade. This study was conducted to analyse the technique and surgical outcome of total laparoscopic hysterectomy in tertiary care hospitalMethods: This is a retrospective cohort (observational) study, which included all patients who underwent Total Laparoscopic Hysterectomy (TLH) for benign conditions from January 2012 to December 2017 at the tertiary Care Hospital. The data so obtained was analysed for various parameters like indication for surgery, mean operating time, length of hospital stay, complications and conversion to abdominal route.Results: Total number of 2307 hysterectomies were performed over a period of 5 years. Of these, TLH were 270 (11.70%). Amongst those undergoing TLH, the mean age was 45±7.84 years. The most common indication for the surgery was fibroid uterus (38.14%), followed by dysfunctional uterine bleeding (28.88%), and adenomyosis (15.1%). The mean estimated blood loss was 106±4.34 ml. Hemorrhage (n = 2) and bladder injury (n = 4) were most common surgical complications.Conclusions: TLH is safe and effective procedure for most of the benign pelvic conditions. With adequate training TLH can be used more widely in tertiary care hospital and teaching institute.

scholarly journals Clinical Outcomes of Total Laparoscopic Hysterectomy (TLH): Seven Years’ Experience in a Public Hospital

2019 ◽  
Vol 34 (1) ◽  
pp. 28-35
Author(s):  
Jobaida Sultana ◽  
Md Manir Hossain Khan ◽  
Professor Fatema Ashraf ◽  
Mahmuda Sultana ◽  
Mariha Alam Chowdhury
Keyword(s):  
Demographic Data ◽  
Operating Time ◽  
Laparoscopic Hysterectomy ◽  
Outcome Data ◽  
Total Laparoscopic Hysterectomy ◽  
Pelvic Surgery ◽  
Bladder Injury ◽  
Ureterovaginal Fistula ◽  
Urological Complications ◽  
The Mean

Objective: The aim of the study was to explore the surgical outcomes of total laparoscopic hysterectomy. Materials and methods: This was a prospective analysis of total Laparoscopic Hysterectomy (TLH) done between January, 2012 to December, 2018 in Shaheed Suhrawardy Medical College and Hospital. Demographic data, clinical criteria, intra operative and postoperative outcome data were recorded. Data were collected in a predesigned Data collection sheet. Follow up records done during discharge from the hospital, one week and four weeks postoperatively. Results: Total 298, laparoscopic hysterectomy were performed during the period. Among them 96 % (n=286) for benign and 4 %( n=12) for malignant condition were included in the study population. Mean age of the patients was 45.4 ± 5.6 years, mean parity was 1.9 ± 0.64 and the mean body mass index was 27.48 ± 0.57. The most common benign disease was leiomyoma, 51.7 %. Among the study cases 21.8% (n=65) had history of at least one previous abdomino-pelvic surgery. Maximum size of uterus removed was 28 weeks and maximum patients, 48% (n=143) had uterine size of 10-14 weeks. The operating time was variable between 50 min to 180 min and in the course of time, the mean operating time dropped from 130 min to 60 min. The mean length of hospital stay was 2 days and the return to normal activities was within 2 weeks. Major complications observed among 3.7 % of cases among them 2(0.67%) bladder injury, 2(0.67%) vesico-vaginal fistula (VVF), 3(1.0%) ureterovaginal fistula (UVF) and 4(1.3%) peroperative hemorrhage requiring blood transfusion. Among the 7 cases of urological complications, one patient with VVF and one patient with UVF needed relaparotomy. Ultimately all cases were managed without any residual problem. Conversion to laparotomy was 0.3 % (n=1) of case. Conclusion: TLH offers the benefit of minimally invasive surgery to the patient and is a safe and acceptable alternative to standard hysterectomy for various gynaecological indications. Bangladesh J Obstet Gynaecol, 2019; Vol. 34(1): 28-35

scholarly journals Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

2021 ◽  
Vol 10 (3) ◽  
pp. 993
Author(s):  
Harshal Nimbannavar ◽  
Amey Chugh ◽  
Amulya Rama ◽  
Himadri Bal
Keyword(s):  
Vaginal Hysterectomy ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Bladder Injury ◽  
Final Decision ◽  
Intraoperative Blood Loss ◽  
Steep Learning Curve ◽  
Duration Of Surgery ◽  
Pros And Cons ◽  
Set Up

Background: Hysterectomy is a common surgical procedure frequently performed in the day-to-day practice of gynaecology. Non-descent vaginal hysterectomy (NDVH), which is an art of gynaecological surgeons, has established its place in the realm of gynaecological surgeries. Total laparoscopic hysterectomy (TLH) has a steep learning curve, requires modernized OT set-up including special endoscopic instruments and may not be available in all centres. Non-decent vaginal hysterectomy is a viable alternative in such a scenario. Hence these two surgeries have been compared in this study.Methods: A total 40 patients undergoing hysterectomy for various benign indications, were included for the study. They were divided into two groups of 20 each. One group underwent TLH and the other NDVH. Demographic profile and other perioperative events were compared and statistically analysed.  Results: NDVH group experienced more pain and required a greater number of analgesic doses. The intraoperative blood loss was more in NDVH group and duration of surgery was significantly higher in NDVH group. Rest of the parameters were by and large comparable. The incidence of bladder injury was more in the TLH group as compared to NDVH group.Conclusions: Both NDVH and TLH have their pros and cons. In a given case the final decision will depend on a number of variables like human, financial and medical.

scholarly journals Case of pseudo-renal failure with delayed bladder injury after total laparoscopic hysterectomy

2020 ◽  
Vol 36 (2) ◽  
pp. 262-267
Author(s):  
Takeshi Goto ◽  
Tsutomu Takaki ◽  
Amane Mitake ◽  
Tomofumi Matsuoka ◽  
Yoshiki Sakamoto
Keyword(s):  
Renal Failure ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Bladder Injury

scholarly journals Total Laparoscopic Hysterectomy: A Two-Year Experience in Apollo Hospitals Dhaka

Pulse ◽  
2016 ◽  
Vol 8 (1) ◽  
pp. 21-29
Author(s):  
Monowara Begum ◽  
Nasrin Zulfiqar ◽  
Fatema Yasmin
Keyword(s):  
Hospital Stay ◽  
Demographic Data ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Bladder Injury ◽  
Published Data ◽  
Complication Rates ◽  
Morbidity Data

Objective: Aim of our study is to analyze the surgical outcome of total laparoscopic hysterectomy (TLH) in our patient perspective of Apollo Hospitals Dhaka.Methods: This is a retrospective, observational study where we have reviewed demographic data, intraoperative and postoperative outcomes, and morbidity data on 100 women who underwent TLH between January 2011 and December 2012.Results: Total 100 patients were studied. Among them five patient required conversion to laparotomy due to presence of severe adhesion. The major and minor complication rates were 2% (bladder injury-2 cases) and 0% respectively. The average operating time was 148 ± 40 minutes and the mean length of hospital stay was 3±1 day. The average uterine size was 10 ± 4 weeks. In our cases operating time and duration of hospital stay were very similar with lower procedural complications to other published data elsewhere.Conclusion: We have observed that TLH is a safe and acceptable alternative procedure to standard hysterectomy from the patients perspective at Apollo Hospital Dhaka.Pulse Vol.8 January-December 2015 p.21-29

Drivers of Cost for Total Laparoscopic Hysterectomy Performed by Gynecologic Oncologists

2011 ◽  
Vol 18 (6) ◽  
pp. S3
Author(s):  
K.M. Esselen ◽  
D. Boruta ◽  
J. Schorge ◽  
A. Goodman ◽  
M. del Carmen ◽  
...  
Keyword(s):  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy
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