Intraoperative management and urinary system complications during Total Laparoscopic Hysterectomy [Laparoskopi·k hi·sterektomi·de üri·ner si·stem kompli·kasyonlari ve yöneti·mi·]

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dc.contributor.authorŞendag F.
dc.contributor.authorAkman L.
dc.contributor.authorÖztekin K.
dc.date.accessioned2019-10-26T21:38:08Z
dc.date.available2019-10-26T21:38:08Z
dc.date.issued2013
dc.departmentEge Üniversitesien_US
dc.description.abstractObjective: Many authors were accepted that Total Laparoscopic Hysterectomy (TLH) is interesting and reliable treatment at benign gynecological conditions. The aim of this study is to present intraoperative management and urinary system complications performing TLH. Material and methods: This study was included 116 patients who underwent TLH with or without additional surgical procedure at Ege University Meidcal School, Department of Obstetrics and Gynecolgy between 2002-2008.Bialteral salpingoophorectomy for 77 (66,3%), Burch colposuspension for 9 (8.4%), adhesiolysis for40 (37.7%), and McCall Culdeplasty for 10 (8,6%) were applied as additional surgical procedure. Avarege age of patients was 48.1 years. BMI and parity was 27.1±2.3 kg/m2 and 1.8±1.1, respectively. 24 (20.6%) cases were presented previous surgical procedure and 71 (61.2%) cases were postmenopause. Results: Bladder injury occured as uirnary system complication at 2 (1.7%) women. The other postoperative complications were loss of blood exceed than 500 ml, infection and turned conversion to laparotomy; 9 case (7.75%), 2 case (1.7%) an done case, respectively. However bladder injury was recognized during operation and repaired concurrently. Any long term complication and ureteral injury was seen. Conclusion: The rate of our urinary system complicationwas 1.7% in study group performing TLH. Risk factors were prior caesarean section history, prior pelvic surgery history and extensive endometriosis. Familiarity of pelvic anatomy and operator trainig cure were very important at advanced laparoscopic application. The avoidance of complication can be possible with goog observation of surgical area, gentle dissection and favorable using of energy modality.en_US
dc.identifier.doi10.5505/tjod.2013.29292
dc.identifier.endpage30en_US
dc.identifier.issn1307699X
dc.identifier.issn1307-699Xen_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage26en_US
dc.identifier.urihttps://doi.org/10.5505/tjod.2013.29292
dc.identifier.urihttps://hdl.handle.net/11454/18104
dc.identifier.volume10en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurk Jinekoloji ve Obstetrik Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComplicationen_US
dc.subjectHysterectomyen_US
dc.subjectLaparoscopyen_US
dc.subjectUrinary systemen_US
dc.titleIntraoperative management and urinary system complications during Total Laparoscopic Hysterectomy [Laparoskopi·k hi·sterektomi·de üri·ner si·stem kompli·kasyonlari ve yöneti·mi·]en_US
dc.typeArticleen_US

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