title: [Total laparoscopic hysterectomy with the coagulation of the uterine arteries at their origin].
abstract: BACKGROUND
  Hysterectomy is one of the most frequently performed gynecological operations worldwide. Due to patient perceived advantages of technical development laparoscopic hysterectomy has become a widely used method. The attitude of patients, surgeons and service providers to laparoscopic procedures is not uniform, but total laparoscopic hysterectomy has prevailed due to its advantages from other types of laparoscopic hysterectomies. Coagulation of the uterine arteries at their origin during the standardized method of total laparoscopic hysterectomy provides further benefits for this procedure.
  
  
  OBJECTIVE
  Our aim was the presentation of our experience together with a review of the relevant literature.
  
  
  METHODS
  Operations were performed with the coagulation of the uterine arteries at their origin right at the beginning of the procedure. Inclusion criteria were the use of the standardized method, video documentation of the surgery, and pre- and postoperative haemostatus results.
  
  
  RESULTS
  Our results confirm that the procedure involves an acceptable operating time that is comparable to that of open abdominal and vaginal hysterectomies, minimal blood loss that is far less than that in open procedures, a much shorter duration of hospitalization and a low complication rate.
  
  
  CONCLUSIONS
  In skilled hands with proper knowledge of the anatomy the standardized method of total laparoscopic hysterectomy with the coagulation of the uterine arteries at their origin is a safe and reproducible technique which suitably utilizes the advantages of minimally invasive surgery. Orv. Hetil., 2017, 158(8), 298-303.
authors.affiliation: Szülészeti és Nőgyógyászati Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Nagyerdei krt. 98., 4032.
authors.forename: Rudolf
authors.initials: R
authors.lastname: Lampé
authors.affiliation: Szülészeti és Nőgyógyászati Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Nagyerdei krt. 98., 4032.
authors.forename: Csaba
authors.initials: C
authors.lastname: Móré
authors.affiliation: Szülészeti és Nőgyógyászati Osztály, Kenézy Gyula Kórház és Rendelőintézet Debrecen.
authors.forename: Ilona
authors.initials: I
authors.lastname: Fazekas
authors.affiliation: Szülészeti és Nőgyógyászati Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Nagyerdei krt. 98., 4032.
authors.forename: Róbert
authors.initials: R
authors.lastname: Póka
mesh_terms: D001158:Arteries / Q000601:surgery; D004564:Electrocoagulation; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery; D014599:Uterus / Q000098:blood supply*
keywords: arteria uterina; endoscopy; endoszkópia; standardized method; standardizált műtéttechnika; total laparoscopic hysterectomy; totális laparoszkópos hysterectomia; uterine artery