Scarless hysterectomy and minimally invasive gynecologic operations in Nopparat Rajathani Hospital : initial experience

Chalermpol Assawatheerangkoon
In: Asian Medical Journal and Alternative Medicine · 2010 · vol. 10(3) , pp. 290–293 · doi:10.70933/2773-9465.1404 · W1486820357
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This case series of 20 women found scarless hysterectomy to be successful with no intra- or post-operative morbidity, less pain, low cost, and good cosmetic results for selected benign uterine conditions.

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This case series evaluated scarless hysterectomy using a natural orifice approach and other minimally invasive gynecologic operations in 20 women without uterine prolapse who underwent hysterectomy for benign uterine conditions at Nopparat Rajathani Hospital (April 2009–April 2010). The authors reported that scarless hysterectomy succeeded in all cases, with bilateral salpingo-oophorectomy performed in 5 cases, and observed no intra- or post-operative morbidity or re-admissions, along with lower postoperative pain, low cost, and good cosmetic results. A key limitation explicitly noted by the study’s selection criteria is that participants were chosen to have no severe adhesions and no endometriosis, and the uterine size needed to be not too large. This paper is centrally about endometriosis — it excludes patients with endometriosis as part of its selected benign gynecologic hysterectomy population, providing a context for how endometriosis was handled in eligibility rather than being studied directly.

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Abstract

Objective: To show that scarless hysterectomy is the best way of hysterectomy in theselected benign gynecologic patients who have not too big uterus, no severeadhesion or endometriosis. It has advantages of lower morbidity, faster recovery,lower cost and good cosmetic results. Materials and Methods: A case series study was carried out in Nopparat Rajathani Hospital between April 2009 and April 2010 in 20 women without uterine prolapse who requestedhysterectomy for various benign diseases of the uterus. Scarless hysterectomieswere done by the technique adapted from Purohit Ram Krishna and MasaakiAndou. Successful operation, intra and post operative morbidity, post operativepain, re-admission and cosmetic result were observed. Results: Scarless hysterectomy was succeeded in all 20 cases and bilateral salpingooophorectomyin 5 indicated cases. No intra-or post-operative morbidity, nore-admission, less postoperative pain, low cost and good cosmetic result wereobserved. Conclusion: Scarless hysterectomy is a good alternative way for hysterectomy in the selectedcases of benign diseases of the uterus. It needs some surgical skills but givesless morbidity, less pain, less cost and good cosmetic result.
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Keywords

Scarless hysterectomy, Natural orifice hysterectomy, Vaginal hysterectomy, nonprolapsed uterus, Minimally invasive gynecologic operations (MIGO)

Abstract

Objective: To show that scarless hysterectomy is the best way of hysterectomy in theselected benign gynecologic patients who have not too big uterus, no severeadhesion or endometriosis. It has advantages of lower morbidity, faster recovery,lower cost and good cosmetic results.

Materials and methods

A case series study was carried out in Nopparat Rajathani Hospital between April 2009 and April 2010 in 20 women without uterine prolapse who requestedhysterectomy for various benign diseases of the uterus. Scarless hysterectomieswere done by the technique adapted from Purohit Ram Krishna and MasaakiAndou. Successful operation, intra and post operative morbidity, post operativepain, re-admission and cosmetic result were observed.

Results

Scarless hysterectomy was succeeded in all 20 cases and bilateral salpingooophorectomyin 5 indicated cases. No intra-or post-operative morbidity, nore-admission, less postoperative pain, low cost and good cosmetic result wereobserved.

Conclusion

Scarless hysterectomy is a good alternative way for hysterectomy in the selectedcases of benign diseases of the uterus. It needs some surgical skills but givesless morbidity, less pain, less cost and good cosmetic result. Recommended Citation Assawatheerangkoon, Chalermpol. 2010 Scarless hysterectomy and minimally invasive gynecologic operations in Nopparat Rajathani Hospital : initial experience. Asian Medical Journal and Alternative Medicine. 10, 3 (Jul. 2010), 290-293. Available at: https://doi.org/10.70933/2773-9465.1404 Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.

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endometriosis

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