JCOGP
Journal of Controversies in Obstetrics & Gynecology and Pediatrics

As of January 2023, our "Journal of Controversies Obstetrics & Gynecology and Pediatrics" has been published under the Medihealth Academy to publish all articles, reviews and case reports on Pediatrics, especially in the field of Obstetrics and Gynecology. In order to facilitate the citation of the articles, to take our place in internationally respected indexes and to reach a wider readership, we will pay attention to the fact that our article language is only English in terms of acceptance. This journal is indexed by indices that are considered international scientific journal indices (DRJI, ESJI, OAJI, etc.). According to the current Associate Professorship criteria, it is within the scope of International Article 1-d. Each article published in this journal corresponds to 5 points.

eISSN: 2980-0579
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Original Article
Comparison of laparotomy and laparoscopy in hysterectomies for benign uterus diseases
Abstract
Aims: To compare the difference between laparoscopic (L/S) and laparotomic (L/T) hysterectomies and the addition of oophorectomy to surgery by complications, blood transfusion, and changes to hemoglobin (Hb) levels and explore the impacts of diabetes mellitus (DM), smoking, previous abdominal surgery, and body mass index (BMI) on early and late complications.
Methods: We recruited 537 patients for this retrospective cross-sectional study. The patients were initially divided into two groups: L/S and L/T and were further divided into subgroups by the addition of oophorectomy. We then compared the groups by early and late complications, changes to Hb levels, and blood transfusion. Moreover, we explored the associations between early and late complications and DM, previous abdominal surgery, and smoking.
Results: The findings revealed that 22.7% of hysterectomies were L/S, and 77.3% were L/T. We concluded similar results between main groups and subgroups. Yet, we could not reach significant impacts of BMI, DM, smoking, and abdominal surgery on complications. Even though postoperative blood transfusion was found to be significantly higher in the L/T group than L/S group (L/S: 0.8%, L/T: 5.8%, p=0.022), it did not significantly differ between the subgroups (Group 1: 3.3%, Group 2: 0%, Group 3: 6.5%, Group 4: 5.5%, p= 0.114). Besides, 6.7% of the patients developed complications. We discovered surgical site infection in 3% of the patients, bleeding and hematoma in 1.6%, and urinary tract injury in 0.9%, while there was only one mortality.
Conclusion: Overall, we could not conclude a significant difference between L/S and L/T hysterectomies for benign reasons, except by postoperative blood transfusion. Moreover, oophorectomy did not contribute to the risk of surgery-related complications and blood transfusions.

Keywords : Adnexal surgery, benign uterine diseases, laparoscopic hysterectomy, laparotomic hysterectomy, gynecological surgery complication

Download Article


1. 1. Whiteman MK, Hillis SD, Jamieson DJ, et al. Inpatient hysterectomysurveillance in the United States, 2000-2004.Am J Obstet Gynecol.2008;198(1):34.e1-34.e347. doi:10.1016/j.ajog.2007.05.039
2. 2. Lycke KD, Kahlert J, Damgaard R, Mogensen O, Hammer A. Trends inHysterectomy Incidence Rates During 2000-2015 in Denmark: Shiftingfrom Abdominal to Minimally Invasive Surgical Procedures.ClinEpidemiol. 2021;13:407-416. Published 2021 Jun 1. doi:10.2147/CLEP.S300394
3. 3. Baskett TF. Hysterectomy: evolution and trends.Best PractRes Clin Obstet Gynaecol. 2005;19(3):295-305. doi:10.1016/j.bpobgyn.2004.11.007
4. 4. Reich H. Laparoscopic hysterectomy.Surg Laparosc Endosc.1992;2(1):85-88.
5. 5. Nieboer TE, Johnson N, Lethaby A, et al. Surgical approach tohysterectomy for benign gynaecological disease.Cochrane Database SystRev. 2009;(3):CD003677. Published 2009 Jul 8. doi:10.1002/14651858.CD003677.pub4
6. 6. Jacoby VL, Autry A, Jacobson G, Domush R, Nakagawa S, JacobyA. Nationwide use of laparoscopic hysterectomy compared withabdominal and vaginal approaches.Obstet Gynecol. 2009;114(5):1041-1048. doi:10.1097/AOG.0b013e3181b9d222
7. 7. Committee Opinion No 701: Choosing the Route of Hysterectomy forBenign Disease.Obstet Gynecol. 2017;129(6):e155-e159. doi:10.1097/AOG.0000000000002112
8. 8. ACOG practice bulletin No. 104: antibiotic prophylaxis for gynecologicprocedures.Obstet Gynecol. 2009;113(5):1180-1189. doi:10.1097/AOG.0b013e3181a6d011
9. 9. Jones HW, Rock JA. Te Linde Operatif Jinekoloji. 11th ed. Demir SC,Tıraş MB, editors. Güneş Tıp Kitabevi 2017; 177-88.
10. 10. Mäkinen J, Johansson J, Tomás C, et al. Morbidity of 10 110hysterectomies by type of approach.Hum Reprod. 2001;16(7):1473-1478.doi:10.1093/humrep/16.7.1473
11. 11. Aarts JW, Nieboer TE, Johnson N, et al. Surgical approachto hysterectomy for benign gynaecological disease.CochraneDatabase Syst Rev. 2015;2015(8):CD003677. Published 2015 Aug 12.doi:10.1002/14651858.CD003677.pub5
12. 12. Gilmour DT, Dwyer PL, Carey MP. Lower urinary tract injuryduring gynecologic surgery and its detection by intraoperativecystoscopy.Obstet Gynecol. 1999;94(5 Pt 2):883-889. doi:10.1016/s0029-7844(99)00456-1
13. 13. Jacoby VL, Autry A, Jacobson G, Domush R, Nakagawa S, JacobyA. Nationwide use of laparoscopic hysterectomy compared withabdominal and vaginal approaches.Obstet Gynecol. 2009;114(5):1041-1048. doi:10.1097/AOG.0b013e3181b9d222
14. 14. Wright JD, Herzog TJ, Tsui J, et al. Nationwide trends in theperformance of inpatient hysterectomy in the United States.ObstetGynecol. 2013;122(2 Pt 1):233-241. doi:10.1097/AOG.0b013e318299a6cf
15. 15. Asante A, Whiteman MK, Kulkarni A, Cox S, Marchbanks PA,Jamieson DJ. Elective oophorectomy in the United States: trends andin-hospital complications, 1998-2006.Obstet Gynecol. 2010;116(5):1088-1095. doi:10.1097/AOG.0b013e3181f5ec9d
16. 16. Clarke-Pearson DL, Geller EJ. Complications of hysterectomy.ObstetGynecol. 2013;121(3):654-673. doi:10.1097/AOG.0b013e3182841594
17. 17. Gokmen Karasu AF, Ates S, Gurbuz T, Sahin N, Takmaz T, Aydin S.“A Clinico-Pathological Study of Transvaginal Endometrial ThicknessMeasurement in Asymptomatic Postmenopausal Patients and PatientsWith Postmenopausal Bleeding”.Gynecol Obstet Reprod Med. 2019;25(2): 85-88. doi:10.21613/GORM.2018.851.
18. 18. Cole P, Berlin J. Elective hysterectomy.Am J Obstet Gynecol.1977;129(2):117-123. doi:10.1016/0002-9378(77)90730-x
19. 19. Maresh MJ, Metcalfe MA, McPherson K, et al. The VALUE nationalhysterectomy study: description of the patients and their surgery.BJOG.2002;109(3):302-312. doi:10.1111/j.1471-0528.2002.01282.x
Article available in :
Volume 1, Issue 1, 2023
Page : 16-20
https://doi.org/10.51271/JCOGP-0004
Article Information
Received : 06 Ara 2022
Accepted : 19 Oca 2023
Published : 29 Oca 2023
Corresponding Author :

Canan Satır Özel: İstanbul Medeniyet University, Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey

[email protected]
Citation : Satır Özel C, Yardımcı OD, Demirçivi E, Özdamar Ö, Turgut A. Comparison of laparotomy and laparoscopy in hysterectomies for benign uterus diseases. J Controv Obstetr Gynecol Ped 2023; 1(1): 16-20

Read: 2508
Cited: 0
Download : 441
_Footer