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Rational Type of Laparoscopic Hysterectomy and Safety in Anesthetic Profiles *
Author(s) -
Song Joon,
Kim Sun Haeng,
Cho Sung Jin,
Park Chang Seo,
Ku Pyong Sahm
Publication year - 1999
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.1999.tb01123.x
Subject(s) - medicine , laparoscopic hysterectomy , hysterectomy , anesthesia , anesthetic , surgery
Objective: To evaluate what type of surgery would be more reasonable among 3 types of laparoscopic hysterectomy and to evaluate the safety of cardio‐pulmonary changes on these patients during these operations. Method: A retrospective study was carried out in 215 women who underwent laparoscopic hysterectomy including laparoscopic‐assisted vaginal hysterectomy (LAVH), laparoscopic hysterectomy (LH), total laparoscopic hysterectomy (TLH). Blood gas analysis, end‐tidal CO 2 levels and vital signs were checked and compared with control and preceding values. Results: The average duration of operation was 102.5 min, 83.8 min and 118.3 min for LAVH ( n = 97), LH ( n = 75) and TLH ( n = 43), respectively (p < 0.05). The average amount of bleeding was 297.5 m l , 152.3 m l and 149.2 m l for each type of hysterectomy, respectively. Hemoglobin decreased by an average of 1.6 g/100 m l , 0.9 g/100 m l and 0.8 g/100 m l , respectively. There was a lesser amount of bleeding for LH and TLH than for LAVH (p < 0.05). Profiles of blood gas analysis and expiratory CO 2 varied significantly according to the operative stages under controlled anesthesia (p < 0.05), but were within the normal range. Conclusion: These results demonstrate that laparoscopic procedures advancing below the uterine vasculature can be considered effective for hysterctomies and that proper anesthesia can safely control the cardio‐pulmonary changes during laparoscopic hysterectomy.