Minilaparotomy Hysterectomy in the Management of Benign Gynecologic Diseases - การผ่าตัดมดลูกทางหน้าท้องผ่านแผลผ่าตัดขนาดเล็กในการรักษาทางนรีเวชที่ไม่ใช่เนื้อร้าย

Abstract

          Considering the advantages of minimally invasive surgery, an attempt to explore less invasive trans-abdominal incisions could represent an alternative to laparoscopic gynecologic surgery. The aim of this prospective descriptive study was to assess the feasibility and clinical outcomes of minilaparotomy hysterectomy in a consecutive series of patients. Data were collected on all patients who underwent hysterectomy by means of minilaparotomy in Nopparat Rajathanee Hospital from January 1 to May 31, 2009. Minilaparotomy was defined as a skin incision ≤ 6 cm in length. During the study, a total of 65 hysterectomies were performed. Twenty of those cases were performed by means of minilaparotomy hysterectomy. The mean age of the patients was 44.35 years. The mean operative time was 89 minutes (range 60-120). No intraoperative complications or perioperative blood transfusions were reported. Mean days of Foley catheter removal and mean days of ambulation, regular diet, and discharge were 1 day, 1.2 days, 2 days and 3 days respectively. No severe early post-operative morbidity was observed. The results showed that minilaparotomy hysterectomy was safe and feasible surgical approach in women undergoing hysterectomy for benign gynecological diseases. Because of the emerging good outcome, it should be considered as a valid alternative to the conventional abdominal hysterectomy.

Key words: minilaparotomy, hysterectomy, benign gynecologic diseases