Finnish national register of laparoscopic hysterectomies: A review and complications of 1165 operations

P Härkki-Sirén, Härkki-Sirén P, Päivi Härkki‐Sirén, J Sjöberg, Sjöberg J, Jari Sjöberg, Juha Mäkinen, J Mäkinen, Mäkinen J, Heinonen PK, Pentti K. Heinonen, P K Heinonen, Minna Kauko, M Kauko, Kauko M, Tomás E, E. Tomás, Eija Tomás, Timo Laatikainen, T Laatikainen, Laatikainen T
American journal of obstetrics and gynecology · 1997 · vol. 176(1) , pp. 118–122 · doi:10.1016/s0002-9378(97)80023-3 · PMID:9024101 · W2053512225
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This review analyzes the complications of 1165 laparoscopic hysterectomies performed within the Finnish national register.

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Abstract

ObjectiveWe evaluated the advantages and disadvantages of laparoscopic hysterectomy over a 2-year period when this new technique was introduced to several hospitals in Finland.Study designA nationwide register was founded and a prospective multicenter survey of 1165 laparoscopic hysterectomies was carried out from January 1993 to December 1994. The operations were performed because of uterine fibroids (54%), menorrhagia (27%), dysmenorrhea (8%), endometriosis (2%), and other reasons (9%) by 68 gynecologists at 30 hospitals.ResultsThe mean operation time was 132 minutes. The patients stayed in hospital for an average of 3.3 days, and the mean convalescence period was 17.9 days, half that after abdominal hysterectomy. Complications occurred in 10.2% of the procedures: infections in 5.6%, vascular complications in 1.2%, urinary tract complications in 2.7%, and bowel complications in 0.4%.ConclusionsLaparoscopic hysterectomy offers a short hospital stay and convalescence time to the patient, but effective teaching is imperative to minimize, in particular, the risk of urinary tract injuries.

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MeSH descriptors

Hysterectomy Laparoscopy Adult Female Finland Humans Hysterectomy Intraoperative Complications Intraoperative Complications Laparoscopy Middle Aged Postoperative Complications Postoperative Complications Prospective Studies Registries

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