The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy

Mete Çağlar; Yusuf Üstün; Serdar Dilbaz; Gazi Yıldız; Raşit Altıntaş; Atilla Özkara; Selahattin Kumru; Burdur Bucak; Ali Yavuzcan

Research Article

The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy

Year 2013, Volume: 15 Issue: 3, 22 - 25, 01.12.2013

Mete Çağlar Yusuf Üstün Serdar Dilbaz Gazi Yıldız Raşit Altıntaş Atilla Özkara Selahattin Kumru Burdur Bucak Ali Yavuzcan

Abstract

Purpose: The aim of our study was to evaluate the effects of age, parity , menopausal statusand previous history of pelvic surgery on perioperative and postoperative outcomes oflaparoscopic hysterectomy operations (LH).Methods: Total of 87 patients,who underwent LH between January 2012 and July 2013,wereincluded in this study. A retrospective medical record review was performed.Results : There was no significant difference between 68 patients below 55 and 19 patients ator above 55 years in terms of major complication rate (p=0.206), need for postoperative bloodtransfusion (p=0.299), operation time (p=0.991), delta Hb (p=0.161),length of hospital stay(p=0.737) and postoperative fever (p=0.823). The length of hospital stay was negativelycorrelated with the parity (r=-0.238,p=0.026). Operation time was significantly lower amongwomen who were at menopause (p=0.001). The length of hospital stay was significantly loweramong patients with a previous history of pelvic surgery (p=0.016).Conclusion: The outcomes of LH are affected by previous pelvic surgery,parity and menopausalstatus

Keywords

age, laparoscopic hysterectomy, menopause, parity, previous pelvic surgery

References

Reich H, De Caprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 5:213, 1989.
Bonilla DJ, Mains L, Rice J, Crawford B 3rd. Total laparoscopic hysterectomy: our 5-year experience (1998- ). Ochsner J 10:8-12, 2010.
AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol :1, 2011. SD ± SD P value Major Comp. (2.2%) (2.2%) 591 Transfusion (3.4%) (2.2%) 665
Operation time (min.) 93±29.02 07±38.52 0.001 Delta Hb (gr/dl) 49±1.58 34±0.94 645 Hospitalisation (day) 05±0.87 46±1.55 117 BodyTemperature (°C) 81±0.43 73±0.45 412

Laparoskopik Histerektomi Sonuçları Üzerine Yaş, Parite, Menopoz ve Önceki Pelvik Cerrahinin Etkileri

Year 2013, Volume: 15 Issue: 3, 22 - 25, 01.12.2013

Mete Çağlar Yusuf Üstün Serdar Dilbaz Gazi Yıldız Raşit Altıntaş Atilla Özkara Selahattin Kumru Burdur Bucak Ali Yavuzcan

Abstract

Amaç: Çalışmamızın amacı, laparoskopik histerektomi operasyonlarının (LH) perioperatif vepostoperatif sonuçları üzerine yaş, parite, hormonal durum ve pelvik cerrahi öyküsünün etkilerinideğerlendirmektir.Yöntem: Ocak 2012 ve Temmuz 2013 tarihleri arasında LH uygulanan toplam 87 hastanınretrospektif olarak tıbbi kayıtlar incelenmiştir.Bulgular: Ellibeş yaş altı 68 hasta ve üzeri 19 hasta arasında majör komplikasyon oranı (p =0.206), postoperatif kan transfüzyonu gereksinimi (p = 0,299) ,operasyon süresi (p = 0,991) ,delta Hb (p = 0.161), hastanede kalış süresi (p = 0.737) ve postoperatif ateş (p = 0,823) açısındananlamlı bir fark saptanmamıştır. Parite sayısı ile hastanede kalış süresi arasında negatifkorelasyon bulunmuştur (r = -0,238, p = 0.026). Operasyon süresi menopozdaki hastalardaanlamlı derecede düşük bulunmuştur (p = 0.001). Hastanede kalış süresi pelvik cerrahi öyküsüolan hastalarda (p = 0.016) anlamlı derecede düşük bulunmuştur.Sonuç: LH operasyonunun sonuçları hastanın pelvik cerrahi öyküsü,parite sayısı ve menopozdurumundan etkilenmektedir

Keywords

geçirilmiş pelvik cerrahi, laparoskopik histerektomi, menopoz, parite, yaş

References

Reich H, De Caprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg 5:213, 1989.
Bonilla DJ, Mains L, Rice J, Crawford B 3rd. Total laparoscopic hysterectomy: our 5-year experience (1998- ). Ochsner J 10:8-12, 2010.
AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL position statement: route of hysterectomy to treat benign uterine disease. J Minim Invasive Gynecol :1, 2011. SD ± SD P value Major Comp. (2.2%) (2.2%) 591 Transfusion (3.4%) (2.2%) 665
Operation time (min.) 93±29.02 07±38.52 0.001 Delta Hb (gr/dl) 49±1.58 34±0.94 645 Hospitalisation (day) 05±0.87 46±1.55 117 BodyTemperature (°C) 81±0.43 73±0.45 412

There are 4 citations in total.

Details

Primary Language	English
Subjects	Clinical Sciences
Journal Section	Research Article
Authors	Mete Çağlar This is me Yusuf Üstün This is me Serdar Dilbaz This is me Gazi Yıldız This is me Raşit Altıntaş This is me Atilla Özkara This is me Selahattin Kumru This is me Burdur Bucak This is me Ali Yavuzcan This is me
Publication Date	December 1, 2013
Submission Date	May 12, 2014
Published in Issue	Year 2013 Volume: 15 Issue: 3

Cite

APA	Çağlar, M., Üstün, Y., Dilbaz, S., Yıldız, G., et al. (2013). The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Duzce Medical Journal, 15(3), 22-25.
AMA	Çağlar M, Üstün Y, Dilbaz S, Yıldız G, Altıntaş R, Özkara A, Kumru S, Bucak B, Yavuzcan A. The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Duzce Med J. December 2013;15(3):22-25.
Chicago	Çağlar, Mete, Yusuf Üstün, Serdar Dilbaz, Gazi Yıldız, Raşit Altıntaş, Atilla Özkara, Selahattin Kumru, Burdur Bucak, and Ali Yavuzcan. “The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy”. Duzce Medical Journal 15, no. 3 (December 2013): 22-25.
EndNote	Çağlar M, Üstün Y, Dilbaz S, Yıldız G, Altıntaş R, Özkara A, Kumru S, Bucak B, Yavuzcan A (December 1, 2013) The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Duzce Medical Journal 15 3 22–25.
IEEE	M. Çağlar, “The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy”, Duzce Med J, vol. 15, no. 3, pp. 22–25, 2013.
ISNAD	Çağlar, Mete et al. “The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy”. Duzce Medical Journal 15/3 (December 2013), 22-25.
JAMA	Çağlar M, Üstün Y, Dilbaz S, Yıldız G, Altıntaş R, Özkara A, Kumru S, Bucak B, Yavuzcan A. The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Duzce Med J. 2013;15:22–25.
MLA	Çağlar, Mete et al. “The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy”. Duzce Medical Journal, vol. 15, no. 3, 2013, pp. 22-25.
Vancouver	Çağlar M, Üstün Y, Dilbaz S, Yıldız G, Altıntaş R, Özkara A, Kumru S, Bucak B, Yavuzcan A. The Effects of Age, Parity, Menopause and Previous Pelvic Surgery on the Outcomes of Laparoscopic Hysterectomy. Duzce Med J. 2013;15(3):22-5.