Our Summary

This research paper discusses a possible treatment for patients with non-cancerous uterine diseases called Laparoscopic subtotal hysterectomy (LSH). In this procedure, the uterus is removed through a small incision and then broken down into smaller pieces (a process called morcellation) for easier removal. In this study, the researchers used a new technique where the uterus was placed inside a bag before being broken down and removed through the vagina. They wanted to assess how feasible this method was.

The study involved a series of patients who all had this procedure. The researchers collected data about the patients, the surgery, and any complications that occurred within 30 days after the surgery.

The average age of the patients was around 46 and the average body mass index (BMI) was about 23. The average operation time was about 72 minutes and the weight of the uterus removed ranged from 60 grams to 470 grams. The average amount of blood loss during surgery was 100 milliliters and no blood transfusions were needed.

None of the surgeries needed to be changed to open surgery and there were no complications during surgery. The average hospital stay was 2 days and there were no post-surgery complications recorded within 30 days of the operation.

The researchers concluded that this method of removing the uterus is promising and may be a reliable and safe way to make the procedure less invasive.

FAQs

  1. What is Laparoscopic subtotal hysterectomy (LSH) and how is it performed?
  2. What were the results and findings from the research on the new technique of performing LSH?
  3. What was the average hospital stay and were there any post-surgery complications recorded within the study?

Doctor’s Tip

A doctor might tell a patient undergoing laparoscopic hysterectomy to make sure to follow all pre-operative instructions, such as fasting before surgery and stopping certain medications. They may also advise the patient to stay active and maintain a healthy diet to help with recovery after the procedure. Additionally, the doctor may recommend taking pain medication as prescribed and avoiding heavy lifting or strenuous activity for a certain period of time following the surgery.

Suitable For

Patients who are typically recommended for laparoscopic hysterectomy include those with non-cancerous uterine diseases such as fibroids, endometriosis, adenomyosis, or abnormal uterine bleeding. It is also recommended for patients who have not responded to other treatments such as medication or minimally invasive procedures. Additionally, patients who are looking for a faster recovery time, less pain, and smaller incisions may also be good candidates for laparoscopic hysterectomy. Overall, laparoscopic hysterectomy is a suitable option for many patients with benign uterine conditions who are looking for a less invasive surgical option.

Timeline

Timeline before laparoscopic hysterectomy:

  • Patient consults with a gynecologist to discuss symptoms and treatment options
  • Patient undergoes various tests and evaluations to determine the need for surgery
  • Surgery is scheduled and patient receives pre-operative instructions
  • Patient may need to stop certain medications or make dietary changes before surgery

Timeline after laparoscopic hysterectomy:

  • Patient undergoes surgery and is monitored in the recovery room before being transferred to a hospital room
  • Patient may experience some pain and discomfort after surgery, which is managed with medication
  • Patient is encouraged to start moving around and walking to aid in recovery
  • Patient is discharged from the hospital within a few days and given instructions for at-home care and follow-up appointments
  • Patient gradually resumes normal activities and may experience improvements in symptoms over time

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hysterectomy include:

  1. What are the potential risks and complications associated with a laparoscopic hysterectomy?
  2. How long is the recovery period after a laparoscopic hysterectomy?
  3. Are there any long-term effects or implications of having a laparoscopic hysterectomy?
  4. How does a laparoscopic hysterectomy compare to traditional open surgery in terms of outcomes and recovery time?
  5. What is the success rate of a laparoscopic hysterectomy for treating my specific condition?
  6. Will I need to take any special precautions or follow a specific diet or exercise regimen after the procedure?
  7. How many laparoscopic hysterectomies have you performed, and what is your experience and success rate with this procedure?
  8. Will I need any additional tests or evaluations before undergoing a laparoscopic hysterectomy?
  9. Will I be able to have children after a laparoscopic hysterectomy, or will it affect my fertility in any way?
  10. Are there any alternative treatment options to consider before proceeding with a laparoscopic hysterectomy?

Reference

Authors: Casarin J, Ghezzi F, Dri M, Granato V, Laganà AS, Ambrosoli AL, Cromi A. Journal: Eur J Obstet Gynecol Reprod Biol. 2023 Mar;282:124-127. doi: 10.1016/j.ejogrb.2023.01.015. Epub 2023 Jan 18. PMID: 36708659