Risk factors of vaginal cuff infection in women undergoing laparoscopic hysterectomy for benign gynecological diseases

2021 ◽  
Vol 47 (4) ◽  
pp. 1502-1509
Author(s):  
Yoko Tsuzuki ◽  
Takumi Hirata ◽  
Shinya Tsuzuki ◽  
Shinichiro Wada ◽  
Akiko Tamakoshi
Keyword(s):  
Risk Factors ◽  
Laparoscopic Hysterectomy ◽  
Vaginal Cuff ◽  
Gynecological Diseases ◽  
Benign Gynecological Diseases

scholarly journals Regarding “Trends and Risk Factors for Vaginal Cuff Dehiscence after Laparoscopic Hysterectomy”

2021 ◽  
Author(s):  
Stefano Uccella ◽  
Pier Carlo Zorzato ◽  
Alessandro Favilli ◽  
Mariachiara Bosco ◽  
Massimo P Franchi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Hysterectomy ◽  
Vaginal Cuff ◽  
Vaginal Cuff Dehiscence

Seven-year survival analysis in women with unsuspected uterine malignancy after laparotomic versus laparoscopic hysterectomy: A national claim data retrospective cohort study.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e18096-e18096
Author(s):  
Jung Hun Lee ◽  
Jin-Sung Yuk
Keyword(s):  
Overall Survival ◽  
Endometrial Cancer ◽  
Survival Analysis ◽  
Cox Regression ◽  
Laparoscopic Group ◽  
Laparoscopic Hysterectomy ◽  
Cox Regression Analysis ◽  
Incidence And Mortality ◽  
Gynecological Diseases ◽  
Benign Gynecological Diseases

e18096 Background: The primary aim of this study was to compare the overall survival of women with unsuspected uterine malignancy (UUM) diagnosed after laparotomic versus laparoscopic hysterectomy for benign gynecological diseases. Methods: A national health insurance database was analyzed from January 2006 to December 2010 to estimate the incidence and mortality of UUM diagnosed after hysterectomy for benign gynecologic diseases using diagnostic and procedure codes. Results: From the database (24 million women annually), 157,232 women were extracted. These women were divided into a laparotomic group (n = 103,631) and a laparoscopic group (n = 53,601). The overall incidences of UUM, unsuspected endometrial cancer, and UUM other than endometrial cancer were 0.65%, 0.46%, and 0.19%, respectively. Women with UUM diagnosed after hysterectomy showed no difference in mean age, incidence of UUM, or socioeconomic status in either group. Kaplan-Meier survival analysis and Cox regression analysis showed that the laparoscopic group was associated with more favorable overall survival than the laparotomic group, especially in UUM other than endometrial cancer ( p < 0.001). Conclusions: In women with UUM diagnosed after hysterectomy for presumed benign gynecological diseases, overall survival up to 7 years favors laparoscopic hysterectomy over laparotomic hysterectomy, and the incidence of UUM is relatively low. However, considering the devastating effect of intraperitoneal dissemination of UUM, surgeons should fully explain this issue to patients preoperatively and try to avoid intraperitoneal spread of tumor cells intraoperatively. [Table: see text]

scholarly journals Incidence of and risk factors for vaginal cuff dehiscence following total laparoscopic hysterectomy: a monocentric hospital analysis

2021 ◽  
Author(s):  
Julia Caroline Radosa ◽  
Marc Philipp Radosa ◽  
Julia Sarah Maria Zimmermann ◽  
Eva-Marie Braun ◽  
Sebastian Findeklee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Odds Ratio ◽  
Laparoscopic Hysterectomy ◽  
Incidence Rates ◽  
Total Laparoscopic Hysterectomy ◽  
University Hospital ◽  
Vaginal Cuff ◽  
Gynecology And Obstetrics ◽  
Vaginal Cuff Dehiscence

Abstract Purpose Vaginal cuff dehiscence (VCD) is one of the major surgical complications following hysterectomy with data on incidence rates varying largely and studies assessing risk factors being sparse with contradictive results. The aim of this study was to assess the incidence rate of and risk factors for VCD in a homogenous cohort of women treated for benign uterine pathologies via total laparoscopic hysterectomy (TLH) with standardized follow-up. Methods All patients undergoing TLH at the Department of Gynecology and Obstetrics, Saarland University Hospital between November 2010 and February 2019 were retrospectively identified from a prospectively maintained service database. Results VCD occurred in 18 (2.9%) of 617 patients included. In univariate and multivariate analyses, a lower level of surgeon laparoscopic expertise (odds ratio 3.19, 95% confidence interval (CI) 1.0–9.38; p = 0.03) and lower weight of removed uterus (odds ratio 0.99, 95% CI 0.98–0.99; p = 0.02) were associated positively with the risk of VCD. Conclusion In this homogenous cohort undergoing TLH, laparoscopic expertise and uterine weight influenced the risk of postoperative VCD. These findings might help to further reduce the rate of this complication.

Perioperative outcomes in laparoscopic hysterectomy: identifying surgical risk factors

2015 ◽  
Vol 13 (2) ◽  
pp. 75-82 ◽  
Author(s):  
Kate Maclaran ◽  
Nilesh Agarwal ◽  
Funlayo Odejinmi
Keyword(s):  
Risk Factors ◽  
Laparoscopic Hysterectomy ◽  
Perioperative Outcomes ◽  
Surgical Risk
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