[Evaluation of the advantages of laparoscopic procedures for hysterectomy].
OBJECTIVE
The objective of this publication was the analysis of 102 laparoscopic hysterectomy. The results were discussed in comparison with traditional laparotomy.


METHODS
There was the analysis of 102 hysterectomy by the means of laparoscopy done in 2000-2002. Following parameters were evaluated: duration of the operation, blood loss, complication, the day of introducing enteral nutrition and duration of hospitalization.


RESULTS
It was observed, that laparoscopic operation took more time than laparotomy (average time: 96.4 min vs 62.37 min). Blood loss was similar in both procedures. Comparing the changes of hemoglobin concentration in serum before and after the procedures it was observed average change 1.75 g% for laparoscopy and 1.71 g% for laparotomy. Time introducing enteral nutrition and duration of hospitalization was shorter for laparoscopic procedures. 87.25% of patients was able to eat in next day after laparoscopic operation. Average amount of days of hospitalization after laparoscopic procedures was 3.75 days, after laparotomy 6.44 days. The infections were the most common postoperative complications. The infections were more common in laparotomy group.


CONCLUSIONS
The new method causes: shortened time of hospitalization, quicker introducing of general diet, avoiding the large wound of abdominal segments, small amount of complications.
Barwijuk
Andrzej J
AJ
Oddziału Ginekologiczno-Połozniczy Szpitala Ginekologiczno-Połozniczego im. Sw. Rodziny w Warszawie.
Dziag
Rafał
R
Jakubiak
Tomasz
T
D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000191:economics / Q000379:methods* / Q000592:standards*; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics / Q000379:methods* / Q000592:standards*; D007813:Laparotomy / Q000379:methods / Q000592:standards; D007902:Length of Stay; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome