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Clinical and Experimental Obstetrics & Gynecology  2021, Vol. 48 Issue (5): 1075-1080    DOI: 10.31083/j.ceog4805173
Original Research Previous articles | Next articles
Factors related to blood loss in laparoscopic hysterectomy
Cengiz Andan1, *(), Serif Aksin1, Mehmet Rifat Goklu1, Seyhmus Tunc1
1Department of Obstetrics and Gynecology, University of Health Sciences Diyarbakir Gazi Yasargil Research and Training Hospital, 21070 Diyarbakır, Turkey
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Abstract  
Background: In this study, we aimed to retrospectively investigate the effects of patients' age, body mass index (BMI), uterine size, presence of fibroids, previous surgery, and the experience of surgeons on blood loss during total laparoscopic hysterectomy. Methods: Data of 416 patients who underwent total laparoscopic hysterectomy in our gynecology clinic were retrospectively evaluated. Several factors that may be correlated with blood loss were investigated based on the changes in their hemoglobin levels. Results: In this study, BMI (under 30: 1.25 g/dL and over 30: 1.10 g/dL, p = 0.140), age (over 50 years: 1.05 g/dL and under 50 years: 1.20 g/dL, p = 0.196), uterus size (above 500 cm3: 1.00 g/dL and below 500 cm3: 1.20 g/dL, p = 0.227), presence of fibroids (fibroids: 1.20 g/dL and without fibroids: 1.10 g/dL) mg/dL, p = 0.843), previous operation history (surgical history: 0.90 g/dL and no surgical history: 1.00 g/dL, p = 0.631) were not correlated with blood loss. Case experience (inexperienced period: 1.10 g/dL and experienced period: 1.20 g/dL, p = 0.185) of each surgeon was not correlated with blood loss. When we examined the blood loss of 11 surgeons separately, it ranged from 0.75 g/dL (0.4–1.9 g/dL) to 1.65 g/dL (0.83–2.15 g/dL). Correlation of the individual surgeon factor with blood loss was statistically significant (p = 0.041). Discussion: Age, BMI, uterine size, presence of fibroids and previous operation history were not correlated with blood loss during total laparoscopic hysterectomy. We determined the individual surgeon as the only aspect affecting blood loss.
Key words:  Total laparoscopic hysterectomy      Blood loss      Hemoglobin levels      Surgeon     
Submitted:  04 January 2021      Revised:  10 February 2021      Accepted:  25 February 2021      Published:  15 October 2021     
*Corresponding Author(s):  Cengiz Andan     E-mail:  mdcengizandan@gmail.com

Cite this article: 

Cengiz Andan, Serif Aksin, Mehmet Rifat Goklu, Seyhmus Tunc. Factors related to blood loss in laparoscopic hysterectomy. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1075-1080.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog4805173     OR     https://ceog.imrpress.com/EN/Y2021/V48/I5/1075

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