EXTRA CORPOREAL ABDOMINAL HYSTERECTOMY: VIA MINI LAPAROTOMY AN ALTERNATIVE TO LAPAROSCOPIC UTERINE REMOVAL

Year 2001, Volume: 14 Issue: 4, 227 - 231, 03.12.2016

Edouard Servy Robert Kaufmann Feridun Aksu

Abstract

Objective: The purpose of this new surgical approach to abdominal hysterectomy is to present the technique and evaluate the advantages of this procedure.
Materials and Methods: Fifty-two women candidate to abdominal hysterectomy due to fibroids, endometriosis and chronic pelvic pain were included in the study. A special new technique “extra corporeal hysterectomy”, was performed under mini laparotomy.
Technique: Surgical approach is simply to use a 4 cm transverse incision on the skin after opening the abdominal wall; the round and infundibulo-pelvic ligaments are tagged, incised, sutured and removed, before the uterus is pulled out. Lower level ligaments and vessels are prepared after the uterus is pulled out tightly from the abdominal incision. And the rest of the operation is performed in the usual manner.
Results and Conclusion: We concluded that extra corporeal abdominal hysterectomy is a safer, simpler, shorter and more cost-effective surgical procedure in comparison to laparoscopic hysterectomy. For all the patients the postoperative period and the three to five year followup was uneventful.
(Accepted 3 July, 2001)
Key Words: Hysterectomy, Laparoscopy, Mini-laparotomy

References

• Dicker RC, Seally MJ, Greenspan JR. Hysterectomy among women of reproductive age treds in the United States JANA 1982;248:333-334.
• Reich H, Decarpio J, NcGlynn F. Laparoscopic hysterectomy, J Gynecol Surg 1989:5:213- 216.
• Liu CY. Laparoscopic hysterectomy, Report of 215 cases. Gynecol Endosc 1992; 1:73-77.
• Hezhat C, Gordon SF, Wilkins E, Winer W, riezhat FR. Laparoscopic versus abdominal hysterectomy J Reprod Med 1992:37:247- 250.
• Doucette RC, Scott JR. Comparison of
• laparoscopically assisted vaginal
• hysterectomy with abdominal and vaginal hysterectomy J Reprod Med 1996(41): 1-6.
• Jones DED, Schackel Ford DF, Brame RG.: Supracervical hysterectomy, back to the future. Am J Obstet Gynecol 1999; 180:513- 515.
• Benedetti-Panici P, Maneschi F, Cutillo G, Scambia G, Congia M, Mancuso S. Surgery by mini-laparotomy in benign gynecologic disease. Obstet Gynecol 1996:87:456-459.
• Rohama-Hashimoto S, Ueno H, Terada S, ¡noue M.A technique of minilaparotomy assisted vaginal hysterectomy. Obstet Gynecol 1997;89:127-129.
• Dorsey JH, Holtz PM, Griffiths Rl, McGrath MM, Steinberg EP. Costs and charges associated with three alternative techniques of hysterectomy. HEJM 1996;335:476-482.
• Hoffman MS, Lynch CM. Minilaparotomy hysterectomy. Am J Obstet Gynecol 1998,179:316-320.
• Thompson JD. Hysterectomy Te Linde's Operative Gynecology. 7^’ ed. Philadelphia: JB Lippincot Co., 1992:663-738.