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Transumbilical single-port access versus conventional total laparoscopic hysterectomy: surgical outcomes.
- Source :
- American Journal of Obstetrics & Gynecology; Jul2010, Vol. 203 Issue 1, p26.e1-26.e6, 0p
- Publication Year :
- 2010
-
Abstract
- Objective: The objective of the study was to compare surgical outcomes and postoperative pain between transumbilical single-port access total laparoscopic hysterectomy (SPA-TLH) and conventional 4-port total laparoscopic hysterectomy (TLH). Study Design: We retrospectively reviewed 157 patients who underwent SPA-TLH (n = 52) or conventional TLH (n = 105). A single-port access system consisted of a wound retractor, surgical glove, 2 5 mm trocars, and 1 10/11 mm trocar. Results: The SPA-TLH group had less intraoperative blood loss (P < .001), shorter hospital stay (P = .001), and earlier diet intake (P < .001) compared with the conventional TLH group. There was no difference in perioperative complications. Immediate postoperative pain score was lower in the SPA-TLH group (P < .001). Postoperative pain after 6 and 24 hours was lower in SPA-TLH with marginal statistical significance. Conclusion: SPA-TLH is a feasible method for hysterectomy with lower immediate postoperative pain and better surgical outcomes with respect to recovery time compared with conventional TLH. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 00029378
- Volume :
- 203
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- American Journal of Obstetrics & Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 51940658
- Full Text :
- https://doi.org/10.1016/j.ajog.2010.02.026