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Conference Paper: Major surgery in a minor way

TitleMajor surgery in a minor way
Authors
Issue Date2012
PublisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.bjog.org/
Citation
The 10th International Scientific Congress of the Royal College of Obstetricians and Gynaecologists (RCOG 2012), Kuching, Sarawak, Malaysia, 5-8 June 2012. In BJOG, 2012, v. 119 suppl. 1, p. 233, abstract no. P4.71 How to Cite?
AbstractBackground: Hysterectomy is one of the most common gynaecology operations performed in the UK and is often the chosen management in benign conditions that has not responded to conservative or medical treatment . This is commonly the case in the treatment of large uterine fibroids where the size of the fibroid uterus is a major factor for consideration in the determination of hysterectomy technique. Objective: The aim of this study is to evaluate the relevance of laparoscopic subtotal hysterectomy (LSH) in the treatment of large uterine fibroids as a safe alternative to total laparoscopic (TLH) and abdominal hysterectomy (AH). Method: A retrospective collection of all patients who underwent a LSH under one surgeon between 2009 and 2011 was analysed. Patients with a uterus which clinically measured as ‡16 weeks and a uterus weight of ‡240 g also confirmed on histology were included. Data was collected for intra-operative complications, operation duration, estimated blood loss and length of hospital stay, which includes the time the patient is admitted to the time she is discharged. Results: Fifty-three patients were included, 52 patients had successful LSH and one patient was converted to AH due to a large broad ligament fibroid (775 g). Mean weight of the uterus was 467 g (%) [245–410 g: 28 (53%), 450–649 g: 13 (25%), 650–849 g: 7 (13%), 850–1400 g: 5 (9%)]. Mean operation time was 83.83 min (40–117 min). There were no significant major intra-operative complications recorded. Fifty-two (98.1%) patients had insignificant blood loss and 1 (1.8%) had significant blood loss requiring blood transfusion. Mean hospital stay was 1.45 days [1 day: 36 (67.9%), 2 days (22.6%): 12, 3 days: 3 (5.6%), 4 days: 2 (3.8%)]. Conclusion: In the case of large uterine fibroids, LSH provide a safe and better alternative to TLH and AH
DescriptionPoster presentation
Persistent Identifierhttp://hdl.handle.net/10722/205989
ISSN
2015 Impact Factor: 4.039
2015 SCImago Journal Rankings: 2.083

 

DC FieldValueLanguage
dc.contributor.authorSin, WTAen_US
dc.contributor.authorWoldman, S-
dc.contributor.authorAttilia, B-
dc.contributor.authorGauthaman, N-
dc.contributor.authorKarpouzis, H-
dc.contributor.authorPatwardhan, M-
dc.date.accessioned2014-10-20T10:45:23Z-
dc.date.available2014-10-20T10:45:23Z-
dc.date.issued2012en_US
dc.identifier.citationThe 10th International Scientific Congress of the Royal College of Obstetricians and Gynaecologists (RCOG 2012), Kuching, Sarawak, Malaysia, 5-8 June 2012. In BJOG, 2012, v. 119 suppl. 1, p. 233, abstract no. P4.71en_US
dc.identifier.issn1470-0328-
dc.identifier.urihttp://hdl.handle.net/10722/205989-
dc.descriptionPoster presentation-
dc.description.abstractBackground: Hysterectomy is one of the most common gynaecology operations performed in the UK and is often the chosen management in benign conditions that has not responded to conservative or medical treatment . This is commonly the case in the treatment of large uterine fibroids where the size of the fibroid uterus is a major factor for consideration in the determination of hysterectomy technique. Objective: The aim of this study is to evaluate the relevance of laparoscopic subtotal hysterectomy (LSH) in the treatment of large uterine fibroids as a safe alternative to total laparoscopic (TLH) and abdominal hysterectomy (AH). Method: A retrospective collection of all patients who underwent a LSH under one surgeon between 2009 and 2011 was analysed. Patients with a uterus which clinically measured as ‡16 weeks and a uterus weight of ‡240 g also confirmed on histology were included. Data was collected for intra-operative complications, operation duration, estimated blood loss and length of hospital stay, which includes the time the patient is admitted to the time she is discharged. Results: Fifty-three patients were included, 52 patients had successful LSH and one patient was converted to AH due to a large broad ligament fibroid (775 g). Mean weight of the uterus was 467 g (%) [245–410 g: 28 (53%), 450–649 g: 13 (25%), 650–849 g: 7 (13%), 850–1400 g: 5 (9%)]. Mean operation time was 83.83 min (40–117 min). There were no significant major intra-operative complications recorded. Fifty-two (98.1%) patients had insignificant blood loss and 1 (1.8%) had significant blood loss requiring blood transfusion. Mean hospital stay was 1.45 days [1 day: 36 (67.9%), 2 days (22.6%): 12, 3 days: 3 (5.6%), 4 days: 2 (3.8%)]. Conclusion: In the case of large uterine fibroids, LSH provide a safe and better alternative to TLH and AHen_US
dc.languageengen_US
dc.publisherWiley-Blackwell Publishing Ltd.. The Journal's web site is located at http://www.bjog.org/en_US
dc.relation.ispartofBJOG: an international journal of obstetrics and gynaecologyen_US
dc.titleMajor surgery in a minor wayen_US
dc.typeConference_Paperen_US
dc.identifier.emailSin, WTA: drsin21@hku.hken_US
dc.identifier.authoritySin, WTA=rp01866en_US
dc.identifier.doi10.1111/j.1471-0528.2012.03382.x-
dc.identifier.hkuros238499en_US
dc.identifier.volume119en_US
dc.identifier.issuesuppl. 1-
dc.identifier.spage233, abstract no. P4.71en_US
dc.identifier.epage233, abstract no. P4.71en_US
dc.publisher.placeUnited Kingdomen_US

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