caa a22 4500 445311231 CHVBK 20180317142630.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00404-010-1684-x doi (NATIONALLICENCE)springer-10.1007/s00404-010-1684-x Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision [Elektronische Daten] [Tuncay Küçüközkan, Enis Özkaya, Fatma Uçar, Osman Kara] Objective: The aim of this study was to analyze the perioperative outcomes of laparotomy with conventional midline incision and minilaparotomy in patients with large myomas, in a prospective and randomized manner. Study design: From January 2005 to January 2009, 205 consecutive hysterectomies for large symptomatic myomas had been performed by abdominal approach. Patients were randomly assigned to minilaparotomy or midline incision. Results: Groups were compared and found to be similar in terms of age, gravida, parity, body mass index, uterine size, operative time and intraoperative hemorrhage volume. Length of hospital stay, rate of surgical site infection and postoperative fever were significantly higher in the conventional laparotomy group with midline incision. Conclusion: Minilaparotomy is an applicable procedure in hysterectomy for large myomas in the majority of women, resulting in decreased length of hospital stay and complication rates. Springer-Verlag, 2010 Minilaparotomy nationallicence Myoma nationallicence Hysterectomy nationallicence Küçüközkan Tuncay Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut Özkaya Enis Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut Uçar Fatma Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut Kara Osman Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 421-425 0932-0067 284:2<421 2011 284 404 https://doi.org/10.1007/s00404-010-1684-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1684-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Küçüközkan Tuncay Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut NATIONALLICENCE 700 1- Özkaya Enis Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut NATIONALLICENCE 700 1- Uçar Fatma Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut NATIONALLICENCE 700 1- Kara Osman Department of Obstetrics and Gynecology, Dr. Sami Ulus Maternity and Women's Health Teaching and Research Hospital, Demetevler 10. sok. 63/15, Yenimahalle, Ankara, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/2(2011-08-01), 421-425 0932-0067 284:2<421 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer