A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah

Objective To analyse surgical outcomes of total laparoscopic hysterectomy (TLH) for benign disease. Methods Retrospective analysis of 369 cases collected from January 2008 to December 2017 of women who underwent TLH in Hospital Sultan Abdul Halim, Sungai Petani. Clinical, demographic, surgical, a...

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Main Author:	Zakaria, Muhammad Noor Asyraf
Format:	Thesis
Language:	English
Published:	2020
Subjects:	R Medicine
Online Access:	http://eprints.usm.my/50255/1/Muhammad%20Noor%20Asyraf-24%20pages.pdf
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spelling	my-usm-ep.502552021-10-13T15:37:46Z A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah 2020 Zakaria, Muhammad Noor Asyraf R Medicine Objective To analyse surgical outcomes of total laparoscopic hysterectomy (TLH) for benign disease. Methods Retrospective analysis of 369 cases collected from January 2008 to December 2017 of women who underwent TLH in Hospital Sultan Abdul Halim, Sungai Petani. Clinical, demographic, surgical, and intra and perioperative data were recorded. Results Patients had a mean age of 44.7 (±2.6) years, a mean of 2.6 (±1.5) pregnancies, and a mean BMI of 31.2 (±11.4) kg/m2. The mean surgical duration was 89.1 (±20.9) minutes, with mean blood loss of 149 (±152) mL and average hospital stay of 2.2 (±0.5) days. Mean uterine size was 13.7 (±2.5) weeks of gestation. Main indication for TLH was uterine fibroid (55.6%). Of 369 patients, 10 (2.71 % ) were converted to laparotomy. Reasons for conversion were severe adhesive disease (6 patients), bowel injury (3 patients) followed by inadequate visualization secondary to fibroids (1 patient). Bladder injury occurred in 4 (1.08%) patients. No patient developed major postoperative complication. No significant differences were seen in the intraoperative and postoperative complication rates of patients who were obese (body mass index ≥30 kg/m2) or patients with enlarged uterus (≥ 12 weeks gestation). There is significant difference in term of duration of operation in patients with previous caesarian section or pelvic surgery but there is no significant difference in term of intraoperative and postoperative complication rates. Conclusions Total laparoscopic hysterectomy can be performed successfully in most patients with benign indications. It is a procedure with a low incidence of complications. 2020 Thesis http://eprints.usm.my/50255/ http://eprints.usm.my/50255/1/Muhammad%20Noor%20Asyraf-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	R Medicine
spellingShingle	R Medicine Zakaria, Muhammad Noor Asyraf A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
description	Objective To analyse surgical outcomes of total laparoscopic hysterectomy (TLH) for benign disease. Methods Retrospective analysis of 369 cases collected from January 2008 to December 2017 of women who underwent TLH in Hospital Sultan Abdul Halim, Sungai Petani. Clinical, demographic, surgical, and intra and perioperative data were recorded. Results Patients had a mean age of 44.7 (±2.6) years, a mean of 2.6 (±1.5) pregnancies, and a mean BMI of 31.2 (±11.4) kg/m2. The mean surgical duration was 89.1 (±20.9) minutes, with mean blood loss of 149 (±152) mL and average hospital stay of 2.2 (±0.5) days. Mean uterine size was 13.7 (±2.5) weeks of gestation. Main indication for TLH was uterine fibroid (55.6%). Of 369 patients, 10 (2.71 % ) were converted to laparotomy. Reasons for conversion were severe adhesive disease (6 patients), bowel injury (3 patients) followed by inadequate visualization secondary to fibroids (1 patient). Bladder injury occurred in 4 (1.08%) patients. No patient developed major postoperative complication. No significant differences were seen in the intraoperative and postoperative complication rates of patients who were obese (body mass index ≥30 kg/m2) or patients with enlarged uterus (≥ 12 weeks gestation). There is significant difference in term of duration of operation in patients with previous caesarian section or pelvic surgery but there is no significant difference in term of intraoperative and postoperative complication rates. Conclusions Total laparoscopic hysterectomy can be performed successfully in most patients with benign indications. It is a procedure with a low incidence of complications.
format	Thesis
qualification_level	Master's degree
author	Zakaria, Muhammad Noor Asyraf
author_facet	Zakaria, Muhammad Noor Asyraf
author_sort	Zakaria, Muhammad Noor Asyraf
title	A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
title_short	A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
title_full	A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
title_fullStr	A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
title_full_unstemmed	A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah
title_sort	10 year review of total laparoscopic hysterectomy in hospital sultan abdul halim sungai petani, kedah
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2020
url	http://eprints.usm.my/50255/1/Muhammad%20Noor%20Asyraf-24%20pages.pdf
_version_	1747822030738161664

A 10 year review of total laparoscopic hysterectomy in Hospital Sultan Abdul Halim Sungai Petani, Kedah

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