title: Optimizing vaginal hysterectomy in women with large volume non-prolapse uteri: a novel minimally-invasive "aneurysm needle clampless technique".
abstract: To describe and evaluate the safety and feasibility of a new clampless technique using aneurysm needle for vaginal hysterectomy compared with the standard technique as a less minimally-invasive procedure in women with benign large volume non-prolapse uteri.Study design In a pilot study, series of 46 consecutive women with benign large volume (200-500cm(3)) uterine conditions other than pelvic organ prolapse were planned for vaginal hysterectomy (VH). Patients were divided into 2 groups; group-A (21 women): for whom an (aneurysm needle clampless VH) was performed; group-B (25 women): used as a control (standard VH). Demographic characteristics and peri-operative parameters for both techniques were compared.Results Of the 46 vaginal hysterectomies, 44 were successfully performed (95.7%; 95% confidence interval, 91.6-99.4%). Two (4.3%) conversions were necessary from VH to open surgery [1 case in group A and another case in group B]. There was no statistically significant difference between both groups regarding the demographic data. Preoperative uterine volumes were comparable (232.8mL vs 226.0mL, respectively) (P>.05). The mean operative time was significantly shorter in the clampless VH group compared with the control group (70.14±7.78min vs 79.52±7.41min, respectively) (P=.007). No reported complications in our series.Conclusion Clampless VH using aneurysm needle represents a safe and less minimally-invasivepossible technique in women with benign large volume non-prolapse uteri. It takes a shorter operative.
authors: Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt. Electronic address: osamawarda@gmail.com.
authors: Osama
authors: O
authors: Warda
authors: Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt.
authors: Sadek
authors: S
authors: Ehab
authors: Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt.
authors: Elkhiary
authors: E
authors: Mostafa
authors: Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt.
authors: Elshamy
authors: E
authors: Maged
authors: Department of Obstetrics and Gynecology, Mansoura University Hospital, Mansoura Faculty of Medicine, Mansoura, Egypt.
authors: Shokeir
authors: S
authors: Tarek
mesh_terms: D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D008875:Middle Aged; D009339:Needles; D061646:Operative Time; D009929:Organ Size; D010865:Pilot Projects; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000473:pathology / Q000601:surgery*; D014599:Uterus / Q000473:pathology* / Q000601:surgery*
keywords: Aneurysm needle; Clampless; Surgical technique; Vaginal hysterectomy