Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Ali Yavuzcan; Gazi Yıldız; Mete Çağlar; Rașit AltIntaș; Serdar Dilbaz; Pınar Yıldız; Selahattin Kumru; Yusuf Üstün

doi:10.5114/wiitm.2013.39504

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Ali Yavuzcan

,

Gazi Yıldız

,

Mete Çağlar

,

Rașit AltIntaș

,

Serdar Dilbaz

,

Pınar Yıldız

,

Selahattin Kumru

,

Yusuf Üstün

Videosurgery Miniinv 2013; 8 (4): 280–288

DOI: https://doi.org/10.5114/wiitm.2013.39504

Online publish date: 2013/12/18

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AMA

Yavuzcan A, Yıldız G, Çağlar M, et al. Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?. Videosurgery and Other Miniinvasive Techniques. 2013:280-288. doi:10.5114/wiitm.2013.39504.

APA

Yavuzcan, A., Yıldız, G., Çağlar, M., AltIntaș, R., Dilbaz, S.,  & Yıldız, P. et al. (2013). Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?. Videosurgery and Other Miniinvasive Techniques, 280-288. https://doi.org/10.5114/wiitm.2013.39504

Chicago

Yavuzcan, Ali, Gazi Yıldız, Mete Çağlar, Rașit AltIntaș, Serdar Dilbaz, Pınar Yıldız,  and Selahattin Kumru et al. 2013. "Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?". Videosurgery and Other Miniinvasive Techniques: 280-288. doi:10.5114/wiitm.2013.39504.

Harvard

Yavuzcan, A., Yıldız, G., Çağlar, M., AltIntaș, R., Dilbaz, S., Yıldız, P., Kumru, S.,  and Üstün, Y. (2013). Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?. Videosurgery and Other Miniinvasive Techniques, pp.280-288. https://doi.org/10.5114/wiitm.2013.39504

MLA

Yavuzcan, Ali et al. "Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?." Videosurgery and Other Miniinvasive Techniques, 2013, pp. 280-288. doi:10.5114/wiitm.2013.39504.

Vancouver

Yavuzcan A, Yıldız G, Çağlar M, AltIntaș R, Dilbaz S, Yıldız P et al. Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?. Videosurgery and Other Miniinvasive Techniques. 2013:280-288. doi:10.5114/wiitm.2013.39504.

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Introduction: It still remains an unanswered question whether, in the absence of gynecological malignancy and under elective conditions, to perform abdominal hysterectomy (AH), offering a safer approach, or to perform a laparoscopic hysterectomy (LH) procedure.

Aim: We aimed to compare LH operations performed with a tissue fusion device accompanied by intraoperative diagnostic cystoscopy with traditional AH operations involving bilateral ureteral dissection.

Material and methods: The integrity of the ureters, ureteral peristalsis and the diameter of the ureters were examined during AH by inspection. At the end of LH, the bladder wall was systematically evaluated by cystoscopy and a jet of urine spurting was noted from both ureteral orifices.

Results: The operation time was longer in patients who underwent LH + CYS (p = 0.0001). The decline in hematocrit and hemoglobin levels in the postoperative period was significantly higher in patients who underwent AH + UD (p = 0.0001 and p = 0.002, respectively). No significant difference was found between the two groups in terms of ureteral injury, bowel injury or bladder injury (p = 0.378, p = 1.000 and p = 1.000, respectively). There was no statistically significant difference between the two groups in terms of mean body temperature and postoperative blood transfusion requirements (p = 0.051 and p = 0.210, respectively). Mean parenteral analgesic requirement and length of hospital stay were significantly different between the groups (p = 0.005 and p = 0.0001). No statistically significant difference was found between the two groups in terms of postoperative cardiopulmonary complications, re-operation rate or occurrence of genitourinary fistula (p = 1.000, p = 1.000 and p = 1.000, respectively).

Conclusions: We concluded that LH performed with a tissue fusion device involving diagnostic cystoscopy yields major and minor complication rates similar to safely performed AH operations preserving ureters.

keywords:

Which one is safer – performing a laparoscopic hysterectomy with a tissue fusion device involving diagnostic cystoscopy or traditional abdominal hysterectomy with ureteral dissection?

Ali Yavuzcan , Gazi Yıldız , Mete Çağlar , Rașit AltIntaș , Serdar Dilbaz , Pınar Yıldız , Selahattin Kumru , Yusuf Üstün

abdominal hysterectomy, laparoscopic hysterectomy, diagnostic cystoscopy, ureter dissection

Ali Yavuzcan

,

Gazi Yıldız

,

Mete Çağlar

,

Rașit AltIntaș

,

Serdar Dilbaz

,

Pınar Yıldız

,

Selahattin Kumru

,

Yusuf Üstün