Laparoscopic assisted mini laparotomy in uterin surgery

Abstract

Objective: Elaboration of new technology in uterine surgery based on laparoscopic assisted median minilaparotomy and combined the benefits of operating laparoscopy and laparotomy and minimized their drawbacks.

Full Text

Methods: Analysis of surgical intervention performing and observation during postoperative period were based on the study of basic clinical and laboratory data.

Results: There were elaborated the methods of hysterectomy, supravaginal uterine amputation and myomectomy using laparoscopic assisted minilaparotomy. There were performed 100 surgical interventions using this technology. The mean time of radical operations was 100 ( 5 min, in myomectomy 78 ( 2 min. The mean blood loss 88 ( 6 ml and 46 ( 2 ml, respectively. The mean weight of removed uterus 210 ( 38 g, the weight of removed uterine fibroids 101 ( 13 g. Postoperative hospital stay was 6,6 ( 0,3 and 5,8 ( 0,2. Intensive care and narcotic analgetics were not required. No complications were registrated.

Conclusion: There were elaborated new technology of uterine surgery which can be worthy of its own place in operating gynecology after its wide approbation.