Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos

Bibliographic Details
Main Author: Nogueira Silva, Cristina
Publication Date: 2014
Other Authors: Santos-Ribeiro, Samuel, Barata, Sónia, Alho, Conceição, Osório, Filipa, Calhaz-Jorge, Carlos
Format: Article
Language: por
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10451/45853
Summary: Copyright © Ordem dos Médicos 2014
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spelling Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casosTotal laparoscopic hysterectomy : retrospective analysis of 262 casesHysterectomyLaparoscopyPostoperative complicationsPortugalCopyright © Ordem dos Médicos 2014vIntroduction: Hysterectomy is one of the most common gynecological procedures and may be performed either by vaginal approach, laparotomy or laparoscopy. Although total laparoscopic hysterectomy has multiple advantages, conflicting major complication rates have been previously reported. Objectives: To describe our experience performing TLH and to evaluate complication rates. Material and Methods: A retrospective observational study of all total laparoscopic hysterectomy performed in our department, by the same surgical team, between April 2009 and March 2013 (n = 262), was conducted. Medical records were reviewed for patient characteristics, operating time, uterine weight, post-operative hemoglobin variation, length of hospital stay, and intra and postoperative complications. Results: Patient average age was 48.9 ± 9.0 years and 49.2% had previous abdominopelvic surgery. The average body mass index was 26.5 ± 4.5 kg/m2 and 42% of women were either overweight or obese. The mean operating time during the total study period was 77.7 ± 27.5 minutes, but it decreased significantly as the surgical team’s training increased. Average uterine weight was 241.0 ± 168.4g and average hospital stay was 1.49 ± 0.9 days. The mean postoperative hemoglobin variation was -1.5 ± 0.8g/dL. The major and minor complication rates were 1.5% (n = 4) and 11.5% (n = 30), respectively. One procedure was converted to laparotomy and two women had a vaginal vault dehiscence. No important urinary tract or bowel injuries occurred. Conclusions: This study demonstrates that, in experienced hands, total laparoscopic hysterectomy is safe and with low complications rates.Ordem dos MédicosRepositório da Universidade de LisboaNogueira Silva, CristinaSantos-Ribeiro, SamuelBarata, SóniaAlho, ConceiçãoOsório, FilipaCalhaz-Jorge, Carlos2021-01-19T16:11:22Z20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/45853porActa Med Port 2014 Jan-Feb;27(1):73-810870-399X1646-0758info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-17T14:27:11Zoai:repositorio.ulisboa.pt:10451/45853Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-29T03:12:29.778738Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
Total laparoscopic hysterectomy : retrospective analysis of 262 cases
title Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
spellingShingle Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
Nogueira Silva, Cristina
Hysterectomy
Laparoscopy
Postoperative complications
Portugal
title_short Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
title_full Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
title_fullStr Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
title_full_unstemmed Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
title_sort Histerectomia totalmente laparoscópica : análise retrospetiva de 262 casos
author Nogueira Silva, Cristina
author_facet Nogueira Silva, Cristina
Santos-Ribeiro, Samuel
Barata, Sónia
Alho, Conceição
Osório, Filipa
Calhaz-Jorge, Carlos
author_role author
author2 Santos-Ribeiro, Samuel
Barata, Sónia
Alho, Conceição
Osório, Filipa
Calhaz-Jorge, Carlos
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Nogueira Silva, Cristina
Santos-Ribeiro, Samuel
Barata, Sónia
Alho, Conceição
Osório, Filipa
Calhaz-Jorge, Carlos
dc.subject.por.fl_str_mv Hysterectomy
Laparoscopy
Postoperative complications
Portugal
topic Hysterectomy
Laparoscopy
Postoperative complications
Portugal
description Copyright © Ordem dos Médicos 2014
publishDate 2014
dc.date.none.fl_str_mv 2014
2014-01-01T00:00:00Z
2021-01-19T16:11:22Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/45853
url http://hdl.handle.net/10451/45853
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv Acta Med Port 2014 Jan-Feb;27(1):73-81
0870-399X
1646-0758
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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