A Modified Technique for Laparoscopic Subtotal Hysterectomy
- Conditions
- Subtotal Hysterectomy
- Registration Number
- NCT02328274
- Lead Sponsor
- Far Eastern Memorial Hospital
- Brief Summary
Laparoscopic subtotal hysterectomy (LASH) for benign uterine lesion has regained its popularity in the past decade due to its minimal invasiveness that results in less operation time, less blood loss and quicker return to normal activity. The standard surgical procedure in LASH includes separation of adnexa and round ligament from pelvic sidewall or uterus, dissection of the vesico-uterine peritoneum and opening of the paravesical space; followed by amputation of the uterus with energy-producing modalities (such as Harmonic Scalpel, monopolar electrocautery, bipolar electrocautery). Large uteri may result in longer operative time and higher possibility of conversion to laparotomy due to technical difficulty and excessive blood loss. In order to overcome these difficulties, we introduce a modified surgical technique of LASH which incorporated two methods of vessels ligation and laparoscopic in situ morcellation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 19
- patients aged 20 years old and above with symtomatic uterine myomas or adenomyosis
- complete medical record
- patients aged below 20 years old
- uterine malignancy
- incomplete medical record
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Operation time at time of surgery Intraoperative blood loss at time of surgery
- Secondary Outcome Measures
Name Time Method Post-operative complications up to 7 days post operation such as ureteral injury, bowel perforation, conversion to laparotomy, recurrent vaginal bleeding