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Vaginal Cuff Dehiscence At Total Laparoscopic Hysterectomy PubMed articles on BioPortfolio. Our PubMed references draw on over 21 million records from the medical literature. Here you can see the latest Vaginal Cuff Dehiscence At Total Laparoscopic Hysterectomy articles that have been published worldwide.
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Recently, it has been suggested that occurrence of post-hysterectomy vaginal cuff dehiscence has increased. Consequently, we evaluated the incidence of vaginal cuff dehiscence after different types of hysterectomies. Our hypothesis is that vaginal cuff dehiscence is more often associated with total laparoscopic hysterectomy (TLH) than other types of uterine removal.
To assess the effect of monopolar coagulation vs cut mode during colpotomy at total laparoscopic hysterectomy on vaginal cuff dehiscence.
Vaginal cuff dehiscence is an infrequent complication of hysterectomy, with the potential for evisceration and additional morbidity. This review aims to describe the incidence, risk factors, preventative measures, and management. Identification of specific risk factors is problematic because many studies either lack comparison groups or are underpowered as a result of the rarity of this complication. Good surgical technique to optimize vaginal cuff healing and minimize the risk of postoperative cuff infecti...
To determine the surgical time, suture time, presence of postoperative dyspareunia, and complications that occur after closing the vaginal cuff with a barbed suture compared with conventional suture.
It is widely accepted that nerve-sparing radical hysterectomy is associated with less postoperative morbidity than is observed in radical hysterectomy, while clinical safety is similar between the two. However, there is insufficient evidence to compare the laparoscopic approaches to these procedures. We performed a systematic review and meta-analysis to compare clinical efficacy and the rate of bladder dysfunction, including urodynamic assessment, between laparoscopic nerve-sparing radical hysterectomy (LNS...
Value-based care, best clinical outcome relative to cost, is a priority in correcting the high costs for average clinical outcomes of health care delivery in the United States. Hysterectomy represents the most common and identifiable non-obstetric major surgical procedure among women. Surgical approaches to hysterectomy in the United States have changed in recent decades. For benign indications, clinical evidence identifies the superiority of vaginal hysterectomy to all other routes. These conclusions rest ...
Although laparoscopic hysterectomy, a worldwide popular surgery, ensures faster recovery and less postoperative pain than with laparotomic hysterectomy, immediate pain control still improving postoperative care. We introduce an effective method, intraoperative injection of ropivacaine into both uterosacral ligaments, to control immediate postoperative pain.
There is an ongoing debate regarding the benefits and drawbacks of the various routes of hysterectomy. A number of studies have examined overall quality of life outcomes as well as specific patient-reported outcomes including physical, psychosocial, and sexual functioning following hysterectomy. Existing studies have used varied methodologies with widely heterogeneous results, but patient satisfaction appears to be very high following laparoscopic hysterectomy, with many studies favoring the laparoscopic ap...
To decrease hospital expenses by administering oral acetaminophen rather than intravenous (IV) acetaminophen to women who undergo laparoscopic hysterectomy.
Vaginal foreshortening can occur after hysterectomy leading to inability to engage successfully in vaginal intercourse resulting in decreased quality of life. Vaginal elongation using autologous buccal mucosal graft with mold and postoperative bed rest has been reported extensively for vaginal stenosis and foreshortening, but graft without mold has never been described. A 61-year-old woman 5 years after robotic-assisted hysterectomy with foreshortened vagina and vaginal stricture sought care secondary to th...
The purpose of this study was to evaluate the effects of trigger point injection (TPI) and eutectic mixture local anesthetics (EMLA) cream on the postoperative shoulder pain in patients undergoing total laparoscopic hysterectomy.
Pelvic organ prolapse is a common diagnosis. Today there is no consensus on the ideal operation technique for apical prolapse. Vaginal hysterectomy with suspension of the vaginal cuff is the most frequently used, but the popularity of uterus-preserving techniques is increasing. The aim of this study was to describe trends in surgical techniques used to treat primary apical prolapse in Danish hospitals.
To evaluate which factors may be predictive of patient readiness of discharge after robotic and laparoscopic hysterectomy.
We report a case of a pyomyoma where in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy which has been recognized as the standard of care to avoid infection spreading by morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis one month after uterine artery embolization for symptomatic uterine leiomyoma. The diagnostic of a 9-cm pyomyoma was suspected at pelvic computed tomography scan. A total hysterectomy was performed using a ...
To compare hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus total laparoscopic hysterectomy (TLH) as a day-care procedure.
To determine incidence of robotic radical hysterectomy (RRH) in the United States in comparison to abdominal radical hysterectomy (ARH), with secondary outcomes of peri-operative complications, length of stay, immediate post-operative mortality, cost and a sub-analysis compared to laparoscopic radical hysterectomy (LRH).
We wish to thank Dr. Matsubara et al. for their valuable response on our Editorial that deals with the important topic whether all residents still need to learn to perform abdominal hysterectomy. We think that Matsubara et al. raise some interesting issues in respect to the need for mastering abdominal hysterectomy not only by endoscopically trained gynecologist but also by obstetricians. We agree that ideally, all gynecologists should be able to quickly convert to laparotomy to control a life threatening...
Hysterectomy can be performed during sacrocolpopexy, but there are limited studies comparing the effect of route of hysterectomy on adverse events. We hypothesized there would be no difference in adverse events or patient-reported outcomes in women who underwent minimally invasive sacrocolpopexy with either vaginal or supracervical hysterectomy.
This project was established by the International Society for Gynecologic Endoscopy (ISGE) to provide evidence-based recommendations on the selection of women in whom vaginal hysterectomy can be safely performed.
Determine the feasibility of oophorectomy at the time of vaginal hysterectomy in patients with pelvic organ prolapse and define prognostic factors and perioperative morbidity associated with the procedure.
The advancement of surgical innovation for both devices and techniques has directly impacted the number of hysterectomy options available to patients. These advancements have led to an expansion of options that has been exceptionally impactful for minimally invasive surgery. For individuals who are diagnosed with a health condition or disease that requires a hysterectomy, these advances allow the surgeon to consider an expanded variety of procedures that may improve patients' outcomes and accommodate patien...
We aimed to assess whether an ultrasound (US)-guided oblique subcostal transversus abdominis plane (OSTAP) block would improve the postoperative pain scores and decrease the tramadol consumption after a laparoscopic hysterectomy.