Total Laparoscopic Hysterectomy Outcomes for Large Uterus (>14Weeks) Due to Large and Multiple Fibroids

Betül YAKIŞTIRAN, Yavuz Emre ŞÜKÜR, Bülent BERKER, Salih TAŞKIN, Batuhan ÖZMEN, Murat SÖNMEZER, Cem Somer ̆ ATABEKOĞ̆LU
2019 Journal of Clinical Obstetrics & Gynecology  
A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Total laparoscopic hysterectomy (TLH) seems to be the best surgical route for most cases. However, the technical difficulties, while removing a large uterus due to huge fibroids should be noted. The aim of this study was to assess the effect of large uterine size (>14 weeks) due to large fibroids on the outcome of TLH. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 234 TLH cases were included in the study. The study
more » ... he study. The study group consisted of the patients with clinical size >14 gestational weeks uterus (n=99). The control group consisted of patients with smaller uterine size and operated with benign indications (n=135). The groups were comparable regarding body mass index, comorbidities, and previous abdominal surgery. R Re es su ul lt ts s: : The mean duration of operation, estimated blood loss and the rates of complications were similar between the groups. The rate of conversion to laparotomy did not show a statistically significant difference between the groups. There were five conversions in the study group due to excessive bleeding (n=2), inability to mobilize the uterus (n=2), and intestinal injury (n=1). The two conversions in the control group were also due to excessive bleeding. C Co on nc cl lu us si io on n: : Total laparoscopic hysterectomy for large uterine size >14 weeks size due to large fibroids seems to be a safe and successful surgical approach. K Ke ey yw wo or rd ds s: : Conversion; complication; large uterus; total laparoscopic hysterectomy
doi:10.5336/jcog.2019-70932 fatcat:6cdoaq2lbfhm7ezk4iemue7jju