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.

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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

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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

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