+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Laparoscopic hysterectomy in case of uteri weighing ≥1 kilogram: a series of 71 cases and review of the literature



Laparoscopic hysterectomy in case of uteri weighing ≥1 kilogram: a series of 71 cases and review of the literature



Journal of Minimally Invasive Gynecology 21(3): 460-465



To present our experience with laparoscopic hysterectomy (LH) for uteri weighing 1 kilogram or more and to provide a systematic review of the available English literature. Retrospective analysis and review of the literature (Canadian Task Force Classification II-2). Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy. All women in whom LH was attempted at the Department of Obstetrics and Gynecology, University of Insubria for uteri weighing ≥1 kg were included in the present study. Demographic characteristics and perioperative details of patients were prospectively recorded in our institutional surgical database. We also performed a systematic review of the English literature to identify studies including at least 1 case of LH for uteri weighing ≥1 kg. Hysterectomy for uteri ≥1 kg was performed through a total laparoscopic approach with vaginal morcellation of the uterus in the majority of patients and transvaginal closure of the vaginal vault in all cases. LH was attempted in a total of 71 women. The median uterine weight was 1120 g (1000-2860 g). Three (4.2%) conversions to open surgery were needed. The median operative time and blood loss were 120 minutes (55-360 minutes) and 200 mL (10-1000 mL), respectively. No intraoperative and 2 (2.8%) postoperative complications occurred. Our review identified 6 studies reporting details of LH for uteri weighing ≥1 kg for a total of 62 patients; conversion to open surgery was necessary in 6 (9.7%) patients, and an additional 13 (21%) received a minilaparotomic incision to extract the uterus. The overall complication rate reported in the literature was 11.4%. LH represents a possibility even in cases of uteri weighing ≥1 kg. In a dedicated setting with high endoscopic experience, conversion and complication rates appear acceptable.

(PDF emailed within 0-6 h: $19.90)

Accession: 054071477

Download citation: RISBibTeXText

PMID: 24012921

DOI: 10.1016/j.jmig.2013.08.706


Related references

Feasibility and Safety of Laparoscopic Hysterectomy for Uteri Weighing 1 kilogram. Journal of Minimally Invasive Gynecology 23(7): S218-S219, 2016

Total laparoscopic hysterectomy for uteri over one kilogram. Jsls 14(2): 178-182, 2010

Surgical outcome and cost comparison between total vaginal hysterectomy and laparoscopic hysterectomy for uteri weighing >500 g. Journal of Minimally Invasive Gynecology 21(1): 115-119, 2014

Surgical Outcome and Cost Comparison between Total Vaginal Hysterectomy and Laparoscopic Hysterectomy for Uteri weighing more than 500grams. 2013

Laparoscopic supracervical hysterectomy for the larger uterus (>500 g): a case series and literature review. Archives of Gynecology and Obstetrics (): -, 2016

Hysterectomy for Uteri Weighing ≥1kg: Laparoscopic Vs. Open Approach. Journal of Minimally Invasive Gynecology 22(6s): S87-S87, 2016

Laparoscopic-assisted vaginal hysterectomy for uteri weighing 1000 grams or more. Jsls 12(4): 376-379, 2009

Laparoscopic Versus Open Hysterectomy for Benign Disease in Uteri Weighing >1 kg: A Retrospective Analysis on 258 Patients. Journal of Minimally Invasive Gynecology, 2017

Gasless single-port laparoscopic-assisted vaginal hysterectomy for large uteri weighing 500g or more. European Journal of Obstetrics, Gynecology, and Reproductive Biology 203(): 239-244, 2016

Minilaparotomy Hysterectomy as a Suitable Choice of Hysterectomy for Large Myoma Uteri: Literature Review. Case Reports in Obstetrics and Gynecology 2016: 6945061-6945061, 2016

Management of Cervical Stump after Laparoscopic Supracervical Hysterectomy: Review of 115 Cases and Currently Available Literature. Journal of Minimally Invasive Gynecology 15(6): 19-20, 2008

Minimally Invasive Hysterectomy for Uteri Greater Than One Kilogram. Jsls 21(1), 2017

Laparoscopic Supracervical Hysterectomy and Laparoscopic Total Hysterectomy in Patients with Very Large Uteri: a Retrospective Single-Center Experience at a Major University Hospital. Geburtshilfe und Frauenheilkunde 77(3): 251-256, 2017

Vaginal evisceration following total laparoscopic hysterectomy: case report and review of the literature. Australian & New Zealand Journal of Obstetrics & Gynaecology 47(6): 516-519, 2007

Re: Vaginal evisceration following total laparoscopic hysterectomy: case report and review of the literature. Australian & New Zealand Journal of Obstetrics & Gynaecology 48(4): 447-448, 2008