CLINICAL CHARACTERISTICS OF LEIOMYOMA PATIENT UNDERGOING TOTAL LAPAROSCOPIC HYSTERECTOMY AT HANOI GYNECOLOGY AND OBSTETRICS HOSPITAL
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Abstract
Objectives: Features of leiomyoma patients undergoing total laparoscopic hysterectomy at Hanoi Obstetrics and Gynecology Hospital. Methods: This prospective study included 120 patients with uterine fibroids who underwent total laparoscopic hysterectomy at Hanoi Obstetrics and Gynecology Hospital from August 2019 to May 2020. Results: The mean age was 48,1 ± 4,2, mainly in the 45-50 group (42,5%). All of the patients who underwent surgery have had children. The prevalence of abdominal surgery scar is 13,4%. The group of uterine sizes as the size of an eight to twelve-week pregnancy was 86,7%. Most of the patients are neither anemic nor only mild anemia. Conclusion: Total hysterectomy of uterine fibroids by laparoscopic surgery was performed mainly on patients aged 45-50 and who had enough children. Despite the development of laparoscopic instruments, preoperative factors such as abdominal surgery scar, uterine size, and anemia are considered under specific circumstances.
Article Details
Keywords
uterine fibroid, laparoscopic total hysterectomy
References
2. Advincula AP. Surgical techniques: robot-assisted laparoscopic hysterectomy with the da Vinci surgical system. Int J Med Robot Comput Assist Surg MRCAS. 2006;2(4):305-311. doi:10.1002/rcs.111
3. Boggess JF, Gehrig PA, Cantrell L, et al. A comparative study of 3 surgical methods for hysterectomy with staging for endometrial cancer: robotic assistance, laparoscopy, laparotomy. Am J Obstet Gynecol. 2008;199(4):360.e1-9. doi:10.1016/j.ajog.2008.08.012
4. Nguyễn Bá Mỹ Nhi. Áp dụng cắt tử cung qua nội soi tại Bệnh viện Từ Dũ. Tạp Chí Phụ Sản Số 2. Published online 2001:29-32.
5. Claerhout F, Deprest J. Laparoscopic hysterectomy for benign diseases. Best Pract Res Clin Obstet Gynaecol. 2005;19(3):357-375. doi:10.1016/j.bpobgyn.2005.01.009
6. Hysteroscopy: Practice Essentials, Background, History of the Procedure. Published online July 27, 2021. Accessed May 3, 2022. https://emedicine.medscape.com/article/267021-overview#a6
7. Puntambekar SP, Patil AM, Rayate NV, Puntambekar SS, Sathe RM, Kulkarni MA. A Novel Technique of Uterine Manipulation in Laparoscopic Pelvic Oncosurgical Procedures: “The Uterine Hitch Technique.” Minim Invasive Surg. 2010;2010:836027. doi:10.1155/2010/836027
8. Reich H, DeCAPRIO J, McGLYNN F. Laparoscopic Hysterectomy. J Gynecol Surg. 1989;5(2):213-216. doi:10.1089/gyn.1989.5.213
9. Spies JB, Cooper JM, Worthington-Kirsch R, Lipman JC, Mills BB, Benenati JF. Outcome of uterine embolization and hysterectomy for leiomyomas: results of a multicenter study. Am J Obstet Gynecol. 2004;191(1):22-31. doi:10.1016/j.ajog.2004.03.037