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01.01.2012 | General Gynecology

The Hohl instrument for optimizing total laparoscopic hysterectomy: results of more than 500 procedures in a university training center

verfasst von: Andreas Mueller, Alexander Boosz, Martin Koch, Sebastian Jud, Florian Faschingbauer, Michael Schrauder, Christian Löhberg, Grit Mehlhorn, Stefan P. Renner, Michael P. Lux, Matthias W. Beckmann, Falk C. Thiel

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2012

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Abstract

Purpose

To evaluate complication rates associated with total laparoscopic hysterectomy (TLH) using the Hohl instrument in women with benign indications for hysterectomy, a prospective cohort study was conducted in a university teaching hospital.

Methods

A total of 567 women with benign indications for hysterectomy underwent the TLH procedure using the Hohl instrument between January 2005 and July 2009. The laparoscopic approach was used when the patient had undergone more than one previous pelvic abdominal operation, when an adnexal finding was present, and/or if the patient had reduced vaginal capacity.

Results

One ureteral injury (0.18%), four bladder injuries (0.71%), one small-bowel injury (0.18%), one vaginal injury (0.18%), and one conversion to abdominal hysterectomy (0.18%) occurred. The general complication rate during surgery was 1.42%, whereas in the postoperative period was 3.19%. The mean loss of hemoglobin was 1.47 g/dL (SD 1.06), the mean operating time was 103.87 min (SD 43.89), and the mean uterus weight was 241.41 g (SD 196.73).

Conclusions

Total laparoscopic hysterectomy using the Hohl instrument simplifies the surgical procedure. The technique reported here is safe and effective in preventing ureteral complications during TLH, even in a university training program.

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Titel: The Hohl instrument for optimizing total laparoscopic hysterectomy: results of more than 500 procedures in a university training center
verfasst von: Andreas Mueller
Alexander Boosz
Martin Koch
Sebastian Jud
Florian Faschingbauer
Michael Schrauder
Christian Löhberg
Grit Mehlhorn
Stefan P. Renner
Michael P. Lux
Matthias W. Beckmann
Falk C. Thiel
Publikationsdatum: 01.01.2012
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 1/2012
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-011-1905-y

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The Hohl instrument for optimizing total laparoscopic hysterectomy: results of more than 500 procedures in a university training center