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Vol. 75, No. 1, 2013
Issue release date: January 2013
Section title: Original Article
Gynecol Obstet Invest 2013;75:16–20
(DOI:10.1159/000341141)

Single-Port Access Total Laparoscopic Hysterectomy for Large Uterus

Song T. · Lee Y. · Kim M.-L. · Yoon B.S. · Joo W.-D. · Seong S.J. · Kim I.H.
Department of Obstetrics and Gynecology,aCHA Gangnam Medical Center and bCHA Daegu Women’s Medical Center, CHA University, Seoul, Korea

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Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 12/14/2011 3:59:08 PM
Accepted: 6/15/2012
Published online: 11/29/2012

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI

Abstract

Background/Aims: To evaluate the feasibility and safety of single-port access total laparoscopic hysterectomy (SPA-TLH) for large uterus (>500 g). Methods: A prospective data collection was performed in 21 consecutive patients in March 2010 and August 2011. Surgical outcome including operative time (OT) and estimated blood loss (EBL) were analyzed. Results: SPA-TLH procedures were successfully performed in 16 cases (76.2%). Of the 5 failed cases, 4 were converted to multiport TLH because of distorted uterine contours and pelvic adhesions and 1 was converted to laparotomy for bleeding control. The median OT, uterine weight, and EBL were 110 (65–165) min, 600 (502–980) g, and 200 (100–800) ml, respectively. Spearman’s correlation analysis demonstrated that OT and blood loss increased with increasing uterine weight (p = 0.003 and p = 0.033, respectively). No operative complications were observed during the hospital stay and 3-month follow-up following discharge. Conclusion: SPA-TLH for large uterus is a feasible and safe technique.


  

Author Contacts

Seok Ju Seong, MD, PhD
Department of Obstetrics and Gynecology
CHA Gangnam Medical Center, CHA University
566, Nonhyeon-ro, Gangnam-gu, Seoul 135-081 (Korea)
E-Mail sjseongcheil@yahoo.co.kr

  

Article Information

Received: December 14, 2011
Accepted after revision: June 15, 2012
Published online: November 29, 2012
Number of Print Pages : 5
Number of Figures : 2, Number of Tables : 1, Number of References : 18

  

Publication Details

Gynecologic and Obstetric Investigation

Vol. 75, No. 1, Year 2013 (Cover Date: January 2013)

Journal Editor: D'Hooghe T.M. (Leuven)
ISSN: 0378-7346 (Print), eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


Article / Publication Details

First-Page Preview
Abstract of Original Article

Received: 12/14/2011 3:59:08 PM
Accepted: 6/15/2012
Published online: 11/29/2012

Number of Print Pages: 5
Number of Figures: 2
Number of Tables: 1

ISSN: 0378-7346 (Print)
eISSN: 1423-002X (Online)

For additional information: http://www.karger.com/GOI


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