Feasibility and Compatibility of Minilaparotomy Hysterectomy in a Low-Resource Setting
المؤلفون المشاركون
Shetty, Jyothi
Jain, Gazal
Agarwal, Abhilasha
Pandey, Deeksha
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-08-01
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
Minilaparotomy hysterectomy (MLH) relies on the simplicity of the traditional open technique of abdominal hysterectomy, imparts cosmesis and faster recovery of laparoscopic hysterectomy yet avoids the long learning curve and cost of expensive setup and instrumentation associated with the minimally invasive approaches, namely, laparoscopy and robotics.
In the present study, we tried to ascertain whether the results obtained with MLH can be compared to LAVH in terms of its feasibility, intraoperative variables, and complications.
The null hypothesis was that both MLH and LAVH are comparable techniques; thus, where cost and surgeon’s experience are the confining issues, patients can be reassured that MLH gives comparable results.
Materials and Methods.
This was a prospective observational study done over a period of two years at a university teaching hospital.
A total of 65 patients were recruited, but only 52 (MLH: 27; LAVH: 25) could be included in final analysis.
All surgeries were performed by one of the two gynecologists with almost equal surgical competence, and outcomes were compared.
Results.
MLH is a feasible option for benign gynecological pathologies as none of the patients required increase in the initial incision (4–6 cm).
MLH could be done for larger uteri (MLH: 501.30 ± 327.96 g versus LAVH: 216.60 ± 160.01 g; p<0.001), in shorter duration (MLH: 115.00 ± 21.43 min versus LAVH 172.00 ± 27.91 min; p<0.001), with comparable blood loss (MLH: 354.63 ±227.96 ml; LAVH: 402.40 ± 224.02 ml; p=0.334), without serious complications when compared to LAVH.
Conclusion.
The technique of MLH should be mastered and encouraged to be used in low-resource setting to get results comparable to laparoscopic surgery.
This trial is registered with NCT03548831.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Agarwal, Abhilasha& Shetty, Jyothi& Pandey, Deeksha& Jain, Gazal. 2018. Feasibility and Compatibility of Minilaparotomy Hysterectomy in a Low-Resource Setting. Obstetrics and Gynecology International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1210708
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Agarwal, Abhilasha…[et al.]. Feasibility and Compatibility of Minilaparotomy Hysterectomy in a Low-Resource Setting. Obstetrics and Gynecology International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1210708
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Agarwal, Abhilasha& Shetty, Jyothi& Pandey, Deeksha& Jain, Gazal. Feasibility and Compatibility of Minilaparotomy Hysterectomy in a Low-Resource Setting. Obstetrics and Gynecology International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1210708
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1210708
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر