1. Minimally invasive access as a way to reduce surgical complications in the surgical treatment of benign diseases of the uterus
- Author
-
A N Plekhanov, N A Tatarova, G B Ryabinin, Yu S Shishkina, and V I Gamolin
- Subjects
uterine fibroids ,minimally invasive access ,Gynecology and obstetrics ,RG1-991 - Abstract
The results of 153 hysterectomies performed using minimally invasive approaches (laparoscopically assisted vaginal and vaginal), and 110 hysterectomies, of traditional laparotomy access were analyzed. Using a differentiated approach to the choice of the method of radical surgical treatment of uterine fibroids and applying advanced techniques of minimally invasive hysterectomy separate stages, we managed to reduce the number of complications in laparoscopically assisted vaginal hysterectomy compared with conventional hysterectomy (1,04% for laparoscopically assisted vaginal hysterectomy versus 3,64% for abdominal hysterectomy) by three, though they were not noted in vaginal hysterectomy. The reduction of the number of postoperative complications: from 4,5% for abdominal hysterectomy to 1,75% for vaginal hysterectomy was noted as well; as for the reduction of the number of postoperative complications, it dropped from 4,5% for abdominal hysterectomy to 1,75% for vaginal hysterectomy.
- Published
- 2014