caa a22 4500 445309571 CHVBK 20180317142624.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-011-1882-1 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1882-1 Total laparoscopic hysterectomy in patients with previous abdominal surgery [Elektronische Daten] [Namiko Yada-Hashimoto, Masayo Onoue, Kana Yoshimi, Tsuyoshi Hisa, Michiko Kodama, Hirofumi Otsuka, Noriatsu Saeki, Takao Funato] Purpose: To evaluate the effects of previous abdominal surgery on the feasibility and the safety of total laparoscopic hysterectomy (TLH). Methods: One hundred seventy-four consecutive patients who underwent TLH in private hospital between February 2008 and December 2009 were retrospectively reviewed. Surgical history, operation time, blood loss, transfusion, conversion to an open surgery, complications and hospital stay were assessed in each patient. The patients were classified into two groups; patients with or without a history of abdominal surgery. Results: Group 1 included patients with a history of abdominal surgery (n=44) and Group 2 included patients without a history (n=130). The complication rate was 6.8% in patients with (Group 1) and 5.4% in patients without (Group 2) a history of abdominal surgery, respectively. No bladder, bowel, ureteral, or vascular injuries occurred in either group. Transfusion was required in one patient without a history of abdominal surgery (Group 2; 0.8%). Three patients with (Group 1; 6.8%) and two patients without (Group 2; 1.5%) a history of abdominal surgery were converted to laparotomy. No statistically significant difference was noted between the groups with respect to the complication and conversion rates. Conclusions: In our study, TLH can be performed successfully in patients with a history of abdominal surgery. Springer-Verlag, 2011 Laparoscopy nationallicence TLH nationallicence Previous surgery nationallicence Complications nationallicence Conversion nationallicence Yada-Hashimoto Namiko Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Onoue Masayo Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Yoshimi Kana Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Hisa Tsuyoshi Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Kodama Michiko Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Otsuka Hirofumi Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Saeki Noriatsu Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Funato Takao Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1467-1471 0932-0067 284:6<1467 2011 284 404 https://doi.org/10.1007/s00404-011-1882-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1882-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yada-Hashimoto Namiko Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Onoue Masayo Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Yoshimi Kana Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Hisa Tsuyoshi Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Kodama Michiko Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Otsuka Hirofumi Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Saeki Noriatsu Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 700 1- Funato Takao Department of Obstetrics and Gynecology, Nissay Hospital, 6-3-8, Itachibori, Nishi-ku, 550-0012, Osaka-city, Osaka, Japan aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1467-1471 0932-0067 284:6<1467 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer