Whether the Previous Abdominal Surgeries Affect the Subsequent Total Laparoscopic Hysterectomies or Not?
Published: 2020-06-25
Page: 61-66
Issue: 2020 - Volume 3 [Issue 1]
Gizem Isik *
Department of Obstetrics and Gynecology, Gazi University, Ankara, Turkey.
Selver Kubra Akkaya
Department of Obstetrics and Gynecology, Dr. Hulusi Alataş Elmadag State Hospital, Ankara, Turkey.
Funda Cevher Akdulum
Department of Obstetrics and Gynecology, Gazi University, Ankara, Turkey.
Burcu Ozata
Department of Obstetrics and Gynecology, Gazi University, Ankara, Turkey.
Ebru Yuce
Department of Obstetrics and Gynecology, Liv Hospital, Ankara, Turkey.
Erhan Demirdag
Department of Obstetrics and Gynecology, Gazi University, Ankara, Turkey.
Ezgi Basaran
Department of Obstetrics and Gynecology, Muradiye State Hospital, Van, Turkey.
Nuray Bozkurt
Department of Obstetrics and Gynecology, Gazi University, Ankara, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Aim: Total laparoscopic hysterectomies (TLHs) are safe and patient-convenient alternative hysterectomies. Previous abdominal surgeries can increase the complications seen at TLHs. The aim of this study is evaluating the effects of previous abdominal surgeries on the feasibility and safety of TLHs.
Methods: 153 TLHs that performed between June 2013 and January 2016 in our clinic were evaluated retrospectively. 81 of these patients had no history of previous abdominal surgeries and 72 had been treated with at least one previous abdominal surgery. The operation durations and results were recorded. Shapiro-Wilk, the Kolmogorov-Smirnov and the Mann Whitney U tests were preferred for statistical analysis.
Results: The operation times of the two groups were statistically significantly different (P: 0.009). However, statistically no significant difference was found for the other values.
Conclusions: Laparoscopic hysterectomies are safe for the patients who had previous abdominal surgeries. Laparoscopic hysterectomy can increase the major intraoperative complications slightingly. Till TLH is safety and feasible for all patients As a conclusion, laparoscopic hysterectomy can still be recommended for the patients that had previous operations as a microinvasive technique for enhancing the outpatient results.
Keywords: Intraoperative complications, microinvasive surgeries, previous abdominal surgeries, laparoscopic hysterectomy.