Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2018, Vol. 45 Issue (6): 901-904    DOI: 10.12891/ceog4450.2018
Original Research Previous articles | Next articles
Hysterectomies for benign pathology: seven-year experience of a single tertiary care institution
D. Vasilevska1, *(), G. Balciuniene1, J. Andreicik1, A. Semczuk2, M. Silkunas1, V. Rudaitis1
1 Centre of Obstetrics and Gynecology, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania
2 Second Department of Gynecology, Lublin Medical University, Lublin, Poland
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Purpose of investigation: To assess three different types of hysterectomies for benign pathology at Vilnius University Hospital Santaros Klinikos (VUH SK). Materials and Methods: The medical records of 1361 patients who underwent hysterectomy for benign pathology at the Centre of Obstetrics and Gynecology Vilnius University Hospital Santaros Klinikos between January 1, 2010 and December 31, 2016 were retrospectively reviewed. The comparison was made by evaluating the following data: patients’ age, indications of surgery, operating time, blood loss, hospital stay, uterine size, histological analysis, and complications. Data was considered statistically significant when p-value was less than 0.05. Results: During the study period, 1,361 hysterectomies were performed (vaginal hysterectomy - 41% (n=552), laparoscopic hysterectomy - 30% (n=413), and abdominal hysterectomy - 29% (n=396). Mean age of the patients was 55 ± 12 years. In vaginal hysterectomy group patients were significantly older. Uterine size was larger in abdominal and laparoscopic hysterectomy groups. Operating time was longer using the laparoscopic route than the abdominal or vaginal. The mean blood loss was lowest in laparoscopic hysterectomy group compared with the other groups. The shortest hospital stay was also in the laparoscopic group. Conclusion: The laparoscopic hysterectomies have the shortest hospital stays and the lowest blood loss in comparison with abdominal and vaginal groups. Abdominal and vaginal hysterectomies are shorter, however, the duration of laparoscopic hysterectomies is becoming shorter annually. The complications’ rates between groups do not differ significantly.
Key words:  Laparoscopic hysterectomy      Abdominal hysterectomy      Vaginal hysterectomy     
Published:  10 December 2018     
*Corresponding Author(s):  D. VASILEVSKA     E-mail:  danutavasilevska@gmail.com

Cite this article: 

D. Vasilevska, G. Balciuniene, J. Andreicik, A. Semczuk, M. Silkunas, V. Rudaitis. Hysterectomies for benign pathology: seven-year experience of a single tertiary care institution. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 901-904.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4450.2018     OR     https://ceog.imrpress.com/EN/Y2018/V45/I6/901

[1] Cengiz Andan, Serif Aksin, Mehmet Rifat Goklu, Seyhmus Tunc. Factors related to blood loss in laparoscopic hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(5): 1075-1080.
[2] Yuki Yoshimura, Kentaro Nakayama, Kiyoka Sawada, Hitomi Yamashita, Kohei Nakamura, Tomoka Ishibashi, Masako Ishikawa, Sultana Razia, Seiya Sato, Satoru Kyo. A case of rectal injury due to vaginal pipe misinsertion during total laparoscopic hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2021, 48(1): 194-197.
[3] D. Damnjanovic, M. Zamurovic, D. Zamurovic, S. Krusic. Liver rupture as a complication in cardiopulmonary resuscitation for cardiac arrest after vaginal hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 1031-1033.
[4] K. Nakamura, K. Nakayama, T. Minamoto, T. Ishibashi, K. Sanuki, H. Yamashita, R. Ono, H. Sasamori, S. Razia, M.M. Hossain, S. Kamrunnahar, M. Ishikawa, S. Kyo. A novel retrograde approach for total laparoscopic hysterectomy in patients with severe adhesion in the cul-de-sac[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 565-569.
[5] A. Daniilidis, K. Chatzistamatiou, M. Siskou, ü. Kalkan, T. Theodoridis, S. Angioni. Vault prolapse occurrence after total laparoscopic hysterectomy and total abdominal hysterectomy performed for benign indications, is there a difference? A systematic review of the literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 183-185.
[6] G. Sukgen. Laparoscopic hysterectomy with anterior four-arm mesh implant technique in the surgical treatment of a woman with pelvic organ prolapse and urinary incontinence: a case report and review of the literature[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(1): 161-163.
[7] M. Naveiro-Fuentes, A. Rodríguez-Oliver, M.T. Aguilar-Romero, T. María, A. González-Paredes, J. Fernández-Parra, J. Mozas-Moreno. Vaginal and laparoscopic hysterectomy. Which one is better? Critical analysis of complications associated with both routes[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 845-849.
[8] Sung Taek Park, Hye-yon Cho, Sung-ho Park. Clinical comparison of minimal invasive hysterectomy techniques: laparoscopic hysterectomy vs. vaginal hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 503-507.
[9] M. Kampioni, K. Chmaj-Wierzchowska, M. Wilczak, S. Sajdak. Prophylactic antibiotic therapy leads to the reduction of postoperative complications in colonized patients subjected to abdominal hysterectomy with/without appendages for gynaecological indications[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(4): 529-534.
[10] H.Y. Gao, X.G. Lin, J.M. Chen, Y. Ding, Q. Li, D. Yang, X. Yuan, G.H. Jiang, Q. Wang. Clinical retrospective analysis of urinary tract injury at the time of total laparoscopic hysterectomy[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(3): 375-378.
[11] B. Karadag, Y. Karasu, V. Korkmaz, T. Arslanca, Z. Kurdoglu, Y. Ergun, D.K. Comert, E.G. Sahin. Comparison of Pfannenstiel and Maylard incisions for total abdominal hysterectomies in large uterus[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 559-561.
[12] C. Leggieri, M. Bertin, A. Dalla Toffola, S. Fagherazzi, A. Vitagliano, L. Conte. Laparoscopic hysterectomy: really so risky to a vaginal cuff dehiscence?[J]. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(3): 300-303.
[13] R.X. Shi, H.T. Sun. Total pelvic floor reconstruction versus transvaginal hysterectomy for pelvic organ prolapse: a retrospective cohort[J]. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(3): 323-327.
[14] G. Pistofidis, E. Makrakis, O. Koukoura, N. Bardis, P. Balinakos, V. Anaf. Distinct types of uterine adenomyosis based on laparoscopic and histopathologic criteria[J]. Clinical and Experimental Obstetrics & Gynecology, 2014, 41(2): 113-118.
[15] M. Li, Y. Han, Y.C. Feng. Transumbilical single-port laparoscopic hysterectomy using traditional laparoscopic instruments: a report of 20 cases[J]. Clinical and Experimental Obstetrics & Gynecology, 2012, 39(2): 218-221.
No Suggested Reading articles found!