English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

SUMMARY Objective: Many authors were accepted that Total Laparoscopic Hysterectomy (TLH) is interesting and reliable treatment at benign gynecological conditions. The aim of this study is to present intraoperative management and urinary system complications performing TLH. Material and methods: This study was included 116 patients who underwent TLH with or without additional surgical procedure at Ege University Meidcal School, Department of Obstetrics and Gynecolgy between 2002-2008.Bialteral salpingoophorectomy for 77 (66,3%), Burch colposuspension for 9 (8.4%), adhesiolysis for40 (37.7%), and McCall Culdeplasty for 10 (8,6%) were applied as additional surgical procedure. Avarege age of patients was 48.1 years. BMI and parity was 27.1±2.3 kg/m2 and 1.8±1.1, respectively. 24 (20.6%) cases were presented previous surgical procedure and 71 (61.2%) cases were postmenopause. Results: Bladder injury occured as uirnary system complication at 2 (1.7%) women. The other postoperative complications were loss of blood exceed than 500 ml, infection and turned conversion to laparotomy; 9 case (7.75%), 2 case (1.7%) an done case, respectively. However bladder injury was recognized during operation and repaired concurrently. Any long term complication and ureteral injury was seen. Conclusion: The rate of our urinary system complicationwas 1.7% in study group performing TLH. Risk factors were prior caesarean section history, prior pelvic surgery history and extensive endometriosis. Familiarity of pelvic anatomy and operator trainig cure were very important at advanced laparoscopic application. The avoidance of complication can be possible with goog observation of surgical area, gentle dissection and favorable using of energy modality.

Intraoperative Management And Urinary System Complications During Total Laparoscopic Hysterectomy