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Kwon, Kim, Kang, Choi, Kim, and Park: Comparison of morbidity by uterine weight in total laparoscopic hysterectomy
Original Article
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(1): 53-57.

Published online: 31 January 2010

DOI: https://doi.org/10.5468/kjog.2010.53.1.53

Comparison of morbidity by uterine weight in total laparoscopic hysterectomy

Hyoung Jun Kwon, M.D., En Ok Kim, M.D., Jin Young Kang, M.D., Gong Ju Choi, M.D., Hong Bae Kim, M.D., Sung Ho Park, M.D.

Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Seoul, Korea.

Corresponding author (vth2000@naver.com)

Received 7 November 2009       Accepted 14 December 2009

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Objective

To evaluate the effect of uterine weight on short-term outcome of total laparoscopic hysterectomy (TLH) for benign gynecological conditions.

Methods

A retrospective medical records review of 265 cases of patients with TLH was performed. Patients included in this study underwent TLH as benign uterine disorders at Kangnam Sacred Heart Hostpital, Hallym University from January 2008 through June 2009. These patients were stratified into three groups; Group 1 patients with uterus weighing less than 180 g (n=60), Group2 patients with uterus weighing 180 g to 350 g (n=141), Group 3 patients with uterus weighing more than 350 g (n=64). The groups were compared as regard postoperative stay, operative time, estimated blood loss, hemoglobin change, conversion to open surgery, and postoperative complications.

Results

There was no significant difference in age, gravidity, body mass index, previous pelvic surgery and past medical history. The overall complication rates were not significantly different. But operative time prolonged as uterine weight increased.

Conclusion

The TLH can be performed successfully in case of enlarged uterus. Therefore the enlarged uterus is not an absolute contraindication for TLH.

Keywords: Total laparoscopic hysterectomy, Uterine weight, Morbidity

Figures and Tables

Table 1
Characteristics of patients undergoing total laparoscopic hysterectomy
kjog-53-53-i001

*Group I: Uterine weight < 180 g.

†Group II: Uterine weight 180~350 g.

‡Group III: Uterine weight >350 g.

§BMI: body mass index.

Table 2
The comparison of the results among groups after total laparoscopic hysterectomy
kjog-53-53-i002

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