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Rational type of laparoscopic hysterectomy and safety in anesthetic profiles

Authors
Song J.Kim S.H.Cho S.J.Park C.S.Ku, P.S.
Issue Date
1999
Publisher
University of Tokyo Press
Keywords
Cardio-pulmonary profile; Hysterectomy; Laparoscopic surgery
Citation
Journal of Obstetrics and Gynaecology Research, v.25, no.1, pp 55 - 61
Pages
7
Indexed
SCOPUS
Journal Title
Journal of Obstetrics and Gynaecology Research
Volume
25
Number
1
Start Page
55
End Page
61
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/37922
DOI
10.1111/j.1447-0756.1999.tb01123.x
ISSN
1341-8076
1447-0756
Abstract
Objective: To evaluate what type of surgery would be more reasonable among 3 types of laparoscopic hysterectomy and to evaluate the safety of cardio-pulmonary changes on these patients during these operations. Method: A retrospective study was carried out in 215 women who underwent laparoscopic hysterectomy including laparoscopic-assisted vaginal hysterectomy (LAVH), laparoscopic hysterectomy (LH), total laparoscopic hysterectomy (TLH). Blood gas analysis, end-tidal CO2 levels and vital signs were checked and compared with control and preceding values. Results: The average duration of operation was 102.5 min, 83.8 min and 118.3 min for LAVH (n = 97), LH (n = 75) and TLH (n = 43), respectively (p < 0.05). The average amount of bleeding was 297.5 ml, 152.3 ml and 149.2 ml for each type of hysterectomy, respectively. Hemoglobin decreased by an average of 1.6 g/100 ml, 0.9 g/100 ml and 0.8 g/100 ml, respectively. There was a lesser amount of bleeding for LH and TLH than for LAVH (p < 0.05). Profiles of blood gas analysis and expiratory CO2 varied significantly according to the operative stages under controlled anesthesia (p < 0.05), but were within the normal range. Conclusion: These results demonstrate that laparoscopic procedures advancing below the uterine vasculature can be considered effective for hysterctomies and that proper anesthesia can safely control the cardio-pulmonary changes during laparoscopic hysterectomy.
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Anam Hospital (Department of Obstetrics and Gynecology, Anam Hospital)
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