PMID: 32520389Jun 11, 2020Paper

Robotic Hysterectomy Using a Sealing Device: Differences In Complications and Pain Scores Between Small and Large Uteri

Surgical Technology International
Bénédicte Persyn, Philippe Van Trappen

Abstract

Robotic hysterectomy using standard diathermy instruments has been reported in benign gynaecology over the past decade, however, perioperative outcomes, such as pain scores, for this procedure between small and large uteri using a sealing device are not well reported in large series. Hence, we aimed to investigate, in a large retrospective cohort study of 156 consecutive patients, the rate of complications between small and large uteri in robotic benign hysterectomy using a sealing device which enables simultaneous dissection, sealing, and cutting of tissues. As secondary outcomes, we investigated the differences in pain scores, operative times, and lengths of hospitalisation between the two groups. To differentiate between small and large uteri, the commonly used threshold of 250 grams was used. Eighty-two cases were included in the small uteri group and 70 in the large uteri group. For four cases, no weight was reported. There was a statistically significant longer operative time for the large uteri group-105 minutes versus 85 minutes for the small uteri group. This difference was due to the longer duration of vaginal removal. The postoperative pain scores were comparable between small and large uteri. The overall complicatio...Continue Reading

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