Mini-plus percutaneous setting in total laparoscopic hysterectomy

Selim Mısırlıoğlu, Burak Giray, Dogan Vatansever, Doğan Vatansever, Tonguc Arslan, T. Arslan, Bülent Urman, Bulent Urman, Cagatay Taskiran, Çağatay Taşkıran
Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy · 2020 · vol. 31(2) , pp. 284–290 · doi:10.1080/13645706.2020.1794899 · PMID:32723200 · W3046139699
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This study evaluated the mini-plus percutaneous approach for total laparoscopic hysterectomy in 43 women, finding it to be a feasible and safe surgical option with acceptable operative times and outcomes.

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Abstract

Introduction We aimed to analyze the preliminary experience of a mini-plus percutaneous instrument (MpPc) setting in total laparoscopic hysterectomy (TLH).Material and methods Forty-three women who underwent a mini-plus percutaneous total laparoscopic hysterectomy at a tertiary-care university-based teaching hospital and academic affiliated private hospital between May 2017 and 2018 were included. MpPc-TLH was performed through one optical trans-umbilical 5-mm trocar, one 5-mm ancillary port on the right side, either one 2.4-mm percutaneous endoscopic instrument or 3-mm mini-laparoscopic port on the right upper quadrant and if required one 3-mm ancillary port on the left lower quadrant.Results A total of 43 patients were included, with a median age of 48 years (range, 38–71 years). Indication for surgery included uterine myomas (n = 20), benign adnexal mass (n = 7), endometrial intraepithelial neoplasia (n = 6), endometrial cancer (n = 5), adenomyosis with abnormal bleeding (n = 3), and high-grade cervical dysplasia (n = 2). The median operating time was 100 min (range, 60–180 min), and the median estimated blood loss was 30 ml (range, 20-60ml). The median postoperative abdominal pain Visual Analog Scale score was 3 (range, 0-6).Conclusions The preliminary data suggest that MpPc approach is a feasible and safe surgical modality for total laparoscopic hysterectomy.

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Condition tags

adenomyosis

MeSH descriptors

Endometrial Neoplasms Endometrial Neoplasms Laparoscopy Leiomyoma Leiomyoma Adult Aged Female Humans Hysterectomy Middle Aged Retrospective Studies Umbilicus

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Cites (2)

References (27)

Source provenance

europepmc
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