IMR Press / CEOG / Volume 43 / Issue 6 / DOI: 10.12891/ceog3185.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Using the LigaSure vessel sealing device in the large uterus at laparoscopic hysterectomy
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1 Izmir University Medical School, Department of Obstetrics & Gynecology, Izmir
2 Egepol Hospital, Department of Obstetrics & Gynecology, Izmir
3 Near East University, Faculty of Medicine, Obstetrics & Gynecology Department, Lefkosa-TRNC, Mersin (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(6), 880–882; https://doi.org/10.12891/ceog3185.2016
Published: 10 December 2016
Abstract

Objective: To compare intraoperative hemorrhage and other operative parameters between patients with large and small weighted uterus who underwent laparoscopic hysterectomy (LH). Materials and Methods: Forty-six patients intending to have LH were divided into two groups according to uterine weight (group 1 > 300 grams vs. group 2 < 299 grams). Intraoperative blood loss, operating time, perioperative complications, and duration of hospitalization were compared. Results: Intraoperative blood loss was significantly higher in the large uterus group (group 1); 350 (227–454) ml vs. 250 (182–320) ml (p < 0.001). However, it was not significantly different between the groups in the laparoscopy step. Mean operating time was 90 (77–103) minutes and 80 (62 – 98) minutes in groups 1 and 2, respectively (p < 0.001) revealing ten-minute delay in group 1. Similarly, this was also not significantly different in the laparoscopy step. No significant differences were found between two groups; in terms of hemoglobin concentration decrease, major and minor complications, and hospitalization duration. Conclusion: The authors conclude that LigaSure can be safely used for LH in patients with a large uterus.
Keywords
Laparoscopy
Hysterectomy
Large uterine size
LigaSure
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