Facilitating method for removal of the large uterus after laparoscopic hysterectomy: Vaginal vault vertical incision

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dc.authoridyıldırım karaca, suna/0000-0001-6633-0342
dc.authoridinan, abdurrahman hamdi/0000-0003-4782-3955
dc.authorwosidyıldırım karaca, suna/AAR-3466-2020
dc.authorwosidKARACA, İBRAHİM/K-6772-2019
dc.authorwosidÖztürk, Emine/JHT-6711-2023
dc.authorwosidinan, abdurrahman hamdi/L-8865-2018
dc.contributor.authorKaraca, Ibrahim
dc.contributor.authorDemirayak, Gokhan
dc.contributor.authorOzturk, Emine
dc.contributor.authorAdiyeke, Mehmet
dc.contributor.authorInan, A. Hamdi
dc.contributor.authorKaraca, Suna Yildirim
dc.date.accessioned2024-03-09T18:48:21Z
dc.date.available2024-03-09T18:48:21Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractBackground: In patients with a large uterus, an important part of the laparoscopic hysterectomy operation time is the phase of removing the uterus from the abdomen.The development of techniques that will shorten the morcellation time is the key to reducing the total operation time. Aim: To evaluate the effect of vaginal cuff vertical incision in accelerating removal of the large uterus in lapa-roscopic hysterectomy. Methods: This study was performed with patients who underwent total laparoscopic hysterectomy. In the study group, a vertical incision was performed in the middle of the posterior vaginal stump before the vaginal removal of the larger uterus (weighing more than 500 g). The control group consisted of patients who under-went vaginal morcellation after conventional colpotomy. Patients in both groups were matched in terms of uterine weights +/-50 g and the same vaginal morcellation technique was applied to all patients. Results: In patients who underwent a vertical incision procedure, the time to remove the uterus from the abdomen (17.55 +/- 2.53 min vs 26.62 +/- 4.72 min, p<0.001) and the total operation time (130.81 +/- 12.83 min vs.143.29 +/- 13, 15 min, p = 0.001) was statistically significantly less than the patients without vertical incision. There was no difference between the groups in terms of intraoperative complications, drop in hemoglobin levels, time to flatus, postoperative 6th,24th hour visual analog score and length of hospital stay. Conclusions: The vertical incision procedure reduces the time to remove the large uterus from the abdomen after laparoscopic hysterectomy and, accordingly, the total operation time. This procedure may be the pre-ferred method before vaginal morcellation, especially in large uterus.(c) 2022 Elsevier Masson SAS. All rights reserved.en_US
dc.identifier.doi10.1016/j.jogoh.2022.102530
dc.identifier.issn2468-7847
dc.identifier.issn1773-0430
dc.identifier.issue2en_US
dc.identifier.pmid36587738en_US
dc.identifier.scopus2-s2.0-85145716204en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.jogoh.2022.102530
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1307
dc.identifier.volume52en_US
dc.identifier.wosWOS:000964717400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Masson, Corp Offen_US
dc.relation.ispartofJournal of Gynecology Obstetrics and Human Reproductionen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSurgical Technique; Total Laparoscopic Hysterectomy; Large Uterus; Vaginal Morcellationen_US
dc.titleFacilitating method for removal of the large uterus after laparoscopic hysterectomy: Vaginal vault vertical incisionen_US
dc.typeArticleen_US

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