Total laparoscopic hysterectomy in women with previous cesarean sections

Journal of Minimally Invasive Gynecology
Rakesh SinhaPratima Kadam

Abstract

To analyze the feasibility and technique of dissecting the urinary bladder from the lower uterine segment during total laparoscopic hysterectomy in women who have previously delivered by cesarean section. Retrospective review (Canadian Task Force classification II-1). Dedicated high-volume gynecologic laparoscopy center. Two hundred sixty-one women who underwent total laparoscopic hysterectomy at our center. There were no exclusion criteria based on the size of the uterus or the number of previous cesarean section deliveries. All patients underwent total laparoscopic hysterectomy and lateral dissection of the bladder. Of the study cohort, 52% had undergone 1 cesarean section, 42% had undergone 2 cesarean sections, and 6% had undergone 3 caesarean sections. Median (range) clinical size of the uterus was 12 (6-30) weeks; weight of the specimen was 200 (40-2200) g; total duration of surgery was 80 (30-240) min; and total blood loss was 50 (10-2000) mL. Total laparoscopic hysterectomy in patients with previous cesarean section deliveries is technically feasible. It can be performed by experienced surgeons irrespective of the size of the uterus or the number of previous cesarean sections.

References

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Citations

Apr 23, 2013·Best Practice & Research. Clinical Obstetrics & Gynaecology·Bhaskar D Goolab
May 18, 2013·Journal of Minimally Invasive Gynecology·Amanda M Tower, Gary N Frishman
Nov 10, 2010·Journal of Minimally Invasive Gynecology·UNKNOWN AAGL Advancing Minimally Invasive Gynecology Worldwide
Nov 4, 2015·Journal de gynécologie, obstétrique et biologie de la reproduction·T GauthierUNKNOWN French College of Obstetrics and Gyneacology (CNGOF)
Dec 3, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Giorgio BoganiFabio Ghezzi
May 20, 2016·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Xavier DeffieuxFrançois Golfier
Dec 9, 2016·The Journal of Obstetrics and Gynaecology Research·Soyi LimJinwoo Shin
Mar 24, 2017·Obstetrics and Gynecology·Lindsey Grace
Aug 9, 2016·Obstetrics and Gynecology·Camran NezhatHolden Bamford
Apr 24, 2020·Current Opinion in Obstetrics & Gynecology·Asha McClurgMichelle Louie
Dec 21, 2018·São Paulo Medical Journal = Revista Paulista De Medicina·Nadiye KorogluAli Gedikbasi
Jul 8, 2011·Current Opinion in Obstetrics & Gynecology

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