Erian M, McLaren GR, Buck RJ, Wright G. Reducing costs of laparoscopic hysterectomy.
THE JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS 1999;
6:471-5. [PMID:
10548707 DOI:
10.1016/s1074-3804(99)80013-9]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
STUDY OBJECTIVE
To establish the role of laparoscopic hysterectomy using reuseable surgical equipment.
DESIGN
Prospective, observational study (Canadian Task Force classification II-2).
SETTING
Tertiary major teaching hospital.
PATIENTS
Fifty consecutive women carefully selected for laparoscopic hysterectomy.
INTERVENTIONS
The ultrasonically activated (harmonic) scalpel was used for coagulative cutting of pedicles and ligaments attached to the uterus and adnexa, backed by bipolar diathermy. No nonabsorbable material was left in the pelvis at the conclusion of the procedures.
MEASUREMENTS AND MAIN RESULTS
Patient characteristics, uterine weight, histology, operating time, recovery, analgesic requirements, and hospital stay were recorded. Complications were noted and critically assessed for constructive quality assurance appraisal. Outcomes were satisfactory according to both patients and gynecologists.
CONCLUSION
This pilot study suggests that the method is an efficacious, cost-effective, and well-controlled technique of laparoscopic hysterectomy.
Collapse