caa a22 4500 445306416 CHVBK 20180317142614.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1007/s00404-009-1322-7 doi (NATIONALLICENCE)springer-10.1007/s00404-009-1322-7 Laparoscopic subtotal hysterectomy for large uteri using modified five port technique [Elektronische Daten] [Anupama Shahid, Sridevi Sankaran, Funlayo Odejinmi] Objective: To evaluate outcome of laparoscopic subtotal hysterectomy (LASH) performed in women with large uteri using a modified five port technique. Design: Prospective Cohort Study (Canadian Task Force classification III). Setting: Advanced laparoscopic Unit at the Whipps Cross University Hospital, London, UK. Inclusion criteria: (1) All women with symptomatic and large uteri undergoing LASH, (2) previous three normal cervical smears and consent for future smears as protocol, (3) patient consent for the procedure. Methods: Prospectively collected database was analysed statistically for 29 women with enlarged uteri weighing more than 300g who underwent LASH using the modified five port technique, during the time period of 24months from Jan 2007 to Jan 2009. This technique demonstrates that the port placement facilitates the procedure. Results: The mean age of the patients was 47±4years. Median BMI was 29 (range 22-41), Most common indication of surgery was menorrhagia in 90% of cases followed by palpable lump in 67% of cases. Median size of uterus was 18weeks (range 12-30). Mean operative time was 84±42min. Median blood loss was 200ml (range 100-800ml).There was only one case with major complication such as bladder injury which was diagnosed and repaired intraoperatively. Mean hospital stay was 2±1day. None of the cases needed conversion to laparotomy. Conclusion: Modified five port technique of LASH for large uteri provides optimal exposure of the operative field to increase the efficiency and ease of the procedure and has its added cosmetic benefits. Springer-Verlag, 2009 Laparoscopic subtotal hysterectomy nationallicence Modified LASH technique nationallicence Five port LASH technique nationallicence LASH for large uterus nationallicence Shahid Anupama Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut Sankaran Sridevi Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut Odejinmi Funlayo Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 79-81 0932-0067 283:1<79 2011 283 404 https://doi.org/10.1007/s00404-009-1322-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-009-1322-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shahid Anupama Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut NATIONALLICENCE 700 1- Sankaran Sridevi Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut NATIONALLICENCE 700 1- Odejinmi Funlayo Whipps Cross University Hospital, Whipps Cross Road, E11 1NR, Leytonstone, London, UK aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283/1(2011-01-01), 79-81 0932-0067 283:1<79 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer