Influence of previous abdominal surgery on clinical outcomes of patients undergoing total laparoscopic hysterectomy

Obstetrics & Gynecology Science
Eun Seok SeoSoyi Lim

Abstract

To evaluate the potential effects of previous abdominal surgery on post-operative outcome and incidence of complications after total laparoscopic hysterectomy (TLH). Between June 2008 and December 2016, 331 patients who underwent TLH were retrospectively reviewed. Participating patients were divided into 2 groups according to previous abdominal surgery. We compared the 2 groups based on estimated blood loss, operation time, hospital stay, surgery-related complications, and conversion to laparotomy rates. Group 1 included patients without a history of abdominal surgery (n=186), group 2 included patients with a history of abdominal surgery (n=145). The complication rate was 3.2% in group 1 and 2.8% in group 2. Other post-operative outcome and complications such as estimated blood loss, hospital stay and conversion to laparotomy rates did not differ significantly between groups. Adhesiolysis was significantly more common in group 2 (P<0.001) and operation time was significantly longer in the group 2 (P=0.004). The rate of conversion to laparotomy was higher in group 2, but this difference was not significant (P=0.115). Group 2 patients were divided into subgroups according to the number of surgery. In subgroups analysis of group 2...Continue Reading

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Citations

Mar 14, 2021·Journal of Minimally Invasive Gynecology·Kristen PepinSarah L Cohen

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Methods Mentioned

BETA
hysterectomy
cesarean section
dissection
cesarean sections

Software Mentioned

SPSS

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