Korean J Gynecol Endosc Minim Invasive Surg.  2012 May;24(1):28-32.

Single-port access total laparoscopic hysterectomy in women with history of previous abdominal surgery

Affiliations
  • 1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, CHA Daegu Women's Medical Center, CHA University, Korea.

Abstract


OBJECTIVE
The aim of the present study was to evaluate the impact of previous abdominal surgery on surgical outcomes of single-port access (SPA) total laparoscopic hysterectomy (TLH).
METHODS
We reviewed the medical records of 111 women who underwent SPA-TLH at the Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University between January 2010 and December 2010. Women were classified according to their history of previous abdominal surgery.
RESULTS
Of 111 women undergoing SPA-TLH, 74 women (66.7%) without history of previous abdominal surgery and 37 women (33.3%) with history of previous abdominal surgery were classified. There was no significant difference in surgical outcomes including operative time, estimated blood loss, change in hemoglobin, uterine weight, perioperative complications, transfusion, and additional port insertion between two groups.
CONCLUSION
In our experience, previous abdominal surgery has no significant impact on SPA-TLH.

Keyword

Hysterectomy; Laparoscopy; Previous abdominal surgery; Single-port

MeSH Terms

Female
Gynecology
Hemoglobins
Humans
Hysterectomy
Laparoscopy
Medical Records
Obstetrics
Operative Time
Hemoglobins
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