Subtotal Hysterectomy
Conditions
Brief summary
Laparoscopic subtotal hysterectomy (LASH) for benign uterine lesion has regained its popularity in the past decade due to its minimal invasiveness that results in less operation time, less blood loss and quicker return to normal activity. The standard surgical procedure in LASH includes separation of adnexa and round ligament from pelvic sidewall or uterus, dissection of the vesico-uterine peritoneum and opening of the paravesical space; followed by amputation of the uterus with energy-producing modalities (such as Harmonic Scalpel, monopolar electrocautery, bipolar electrocautery). Large uteri may result in longer operative time and higher possibility of conversion to laparotomy due to technical difficulty and excessive blood loss. In order to overcome these difficulties, we introduce a modified surgical technique of LASH which incorporated two methods of vessels ligation and laparoscopic in situ morcellation.
Interventions
PROCEDUREA Modified Technique for Laparoscopic Subtotal Hysterectomy
incorporation of two methods of vessels ligation and laparoscopic in situ morcellation
Sponsors
Far Eastern Memorial Hospital
Study design
Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patients aged 20 years old and above with symtomatic uterine myomas or adenomyosis * complete medical record
Exclusion criteria
* patients aged below 20 years old * uterine malignancy * incomplete medical record
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operation time | at time of surgery |
| Intraoperative blood loss | at time of surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative complications | up to 7 days post operation | such as ureteral injury, bowel perforation, conversion to laparotomy, recurrent vaginal bleeding |
Outcome results
None listed