Universität zu Köln

Banerjee, C., Kaiser, N., Hatzmann, W., Reiss, G., Schmitz, J., Hellmich, M. and Noe, G. (2010). Lower Spotting Rates after Laparoscopic Supracervical Hysterectomy. Geburtshilfe Frauenheilkd., 70 (10). S. 798 - 803. STUTTGART: GEORG THIEME VERLAG KG. ISSN 0016-5751

Full text not available from this repository.

Abstract

Purpose: Spotting rates of up to 25% have been reported after supracervical hysterectomy. We report here on our stump infection and spotting rates after standard laparoscopically assisted supracervical hysterectomy (LASH) and LASH with additional laparoscopic excision of the cervical channel (eLASH). Material and Methods: 260 premenopausal patients underwent LASH at our institution between January 2006 and June 2009. Until July 2007 we performed straight dissection of the cervix and coagulated the remaining cervical channel (LASH). Since July 2007 we dissected the cervical channel laparoscopically and coagulated the remaining cervical channel (eLash). All patients were asked to fill in a questionnaire on the spotting rate, postoperative infections and smoking behavior. Results: We had a response rate of 70% (n = 183). 88 patients of the LASH group and 85 patients of the eLASH group completed the questionnaire. Nine patients did not fill in the questionnaire completely. 21.6% (19/88) of the LASH group and 5.9% (5/85) of the eLASH group reported spotting continuing for more than one year after operation (p = 0.004). The postoperative rate of stump infections was 6.8% (6/88) in the LASH group and 5.9% (5/85) in the eLASH group (p = 0.999). There was a slight tendency towards increased infection rates in smokers (9.4% [5/53] vs. 5% [6/120], p = 0.315). Conclusion: Laparoscopic excision of the cervical channel seems to reduce the spotting rate. The stump infection rate is moderate and comparable to that after LASH.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Banerjee, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kaiser, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hatzmann, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reiss, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmitz, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noe, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-495588
DOI:	10.1055/s-0030-1250399
Journal or Publication Title:	Geburtshilfe Frauenheilkd.
Volume:	70
Number:	10
Page Range:	S. 798 - 803
Date:	2010
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	0016-5751
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SUBTOTAL HYSTERECTOMY; INFECTIOUS MORBIDITY; VAGINAL HYSTERECTOMY; GYNECOLOGIC-SURGERY; SWEDISH; CLOSURE Multiple languages Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/49558