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  • Laparoskopska histerektomija na Ginekološki kliniki v Ljubljani : obdobje 1999-2003 = Laparoscopic hysterectomy at the University medical centre Ljubljana, division of gynecology and reproduction, between 1999-2003
    Kobal, Borut ...
    Objective. The purpose of this study was to analyse the indications for intra-and postoperative parameters and complications of laparoscopic hysterectomy (LH) at the Department of Obstetrics and ... Gynecology, University Medical Centre Ljubljana. Patieuts aud methods. A retrospective analysis covered the period 1999-2003. Patients' records were reviewed for the indications and type of LH as well as for the blood loss and duration of surgery, postoperative hospital stay, and postoperative early and late complications. In the analysed period, 85 LH were performed: 32 (37.6%) between 1999-2001, 30 (35.2%) in 2002, and 23 (27%) by 15 April 2003. For the purposes of analysis, the patients were divided into two subgroups; the subgroup of patients with laparoscopically assisted vaginal hysterectomy (LAVH) with laparoscopic pelvic lymphadenectomy (LPL), and the subgroup with supracervical hysterectomy (SLH). Results. In the LAVH subgroup, uterine arteries were ligated in 17 patients, and in 49 adnexectomy, resection of the round ligament, and opening of the utero-vesical space were performed laparoscopically, while the uterine artery was ligated in the vaginal part of the procedure. In the SLH subgroup, there were 19 patients. The indications for LH were as follows: CIN or early cervical cancer (n=10), endometrial cancer (n=17), myomas (n=32), endometrial hyperplasia (n=3), irregular bleeding (n=2), adenomyosis (n=14), serous ovarian cystadenoma (n=4), and post-PID seguelae (n=1). The median age of 85 women was 48.24 (33-76) years, the mean duration of LH was 2.16 (1.5-3.5) hours, the mean blood loss was 359 (100-800) ml. Due to intraoperative blood loss, I LAVH was converted to laparotomy; for the same reason, open laparotomy was performed in 2 patients in early postoperative period. (Abstract truncated at 2000 characters).
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 8, št. 20/21, sep./nov. 2003, str. 113-120)
    Vrsta gradiva - članek, sestavni del
    Leto - 2003
    Jezik - slovenski
    COBISS.SI-ID - 17313497

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