Predictive Factors for Mode of Extraction of the Uterus in Total Laparoscopic Hysterectomy
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Università degli Studi di Ferrara
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Intraoperative complications
Overview
Brief Summary
Hysterectomy remains the most common major gynecological operation worldwide. It may be carried out by three different routes and its variations: vaginal, abdominal, and laparoscopic.
A large uterus will lead to several surgical difficulties during laparoscopic hysterectomy, such as limited operative field, restrictive instrument range of motion, and difficult removal of the specimen.
The aim of this study was to compare the clinical results of TLH for large uterus through transvaginal or uterine morcellation approaches after strict preoperative assessment.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •patients undergoing total laparoscopic hysterectomies for larger uteri
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Intraoperative complications
Time Frame: During surgery
mean operation time, uterus removal time, blood loss
Post operative complications
Time Frame: 30 days after surgery
Pelvic hematoma, vaginal stump infection, lower limb venous thrombosis
Secondary Outcomes
No secondary outcomes reported
Investigators
Gennaro Scutiero
MD
Università degli Studi di Ferrara