Comparison of complications by uterine weight in total laparoscopic hysterectomy.

Jeon, Seung Joo; Lee, Ji Won; Hwang, Sun Ah; Park, Han Na; Seo, Ji Seon; Lim, Soyi

doi:2012.55.2.110

Obstet Gynecol Sci > Volume 55(2); 2012 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2012;55(2):110-114.
DOI: https://doi.org/10.5468/KJOG.2012.55.2.110 Published online February 1, 2012.

Comparison of complications by uterine weight in total laparoscopic hysterectomy.

Seung Joo Jeon, Ji Won Lee, Sun Ah Hwang, Han Na Park, Ji Seon Seo, Soyi Lim

Department of Obstetrics and Gynecology, Gachon University Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. soyilim@gmail.com

Abstract

OBJECTIVE
To evaluate the potential effect of uterine weight on short-term outcome and incidence of complications after total laparoscopic hysterectomy (TLH) for a benign gynecologic disease. METHODS: A retrospective medical record review of 771 cases where TLH was performed. Patients included in this study underwent TLH for either myoma or adenomyosis at Gil Hospital, Gachon University of Medicine and Science, from March 2006 through December 2010. Participating patients were stratified into three groups: group 1 with uterine weight less than 250 g (n = 435), group 2 with uterine weight 250 to 500 g (n = 272), and group 3 with uterine weight more than 500 g (n = 64). The groups were compared based on total operation time, estimated blood loss, length of postoperative hospital stay, observations of postoperative complications, and rate of conversion from to TLH to laparotomy. RESULTS: We discovered no statistical difference between the three groups in terms of overall postoperative complications or short-term surgical outcomes. Major complications such as ureter injury and necessity for reoperation occurred in each group. Operation time and estimated blood loss increased slightly as uterine weight increased, but, there was no statistical significance. CONCLUSION: TLH can be successfully performed, even in cases of enlarged uterus. Patients with an enlarged uterus are suitable candidates for TLH.

Key Words: Laparoscopy, Hysterectomy, Postoperative complication