Our Summary

The researchers were comparing two types of laparoscopic hysterectomy surgeries (a procedure to remove the uterus): single-port laparoscopic hysterectomy (SPLH) and conventional laparoscopic hysterectomy (CLH). After reviewing 18 studies, they found that SPLH has a higher failure rate compared to CLH. However, the occurrence of complications during or after the surgery was about the same for both methods. So, while SPLH and CLH have similar risks in terms of complications, the higher failure rate of SPLH is something to consider when choosing between the two.

FAQs

  1. What are the two types of laparoscopic hysterectomy surgeries being compared in the study?
  2. How does the failure rate of single-port laparoscopic hysterectomy (SPLH) compare to that of conventional laparoscopic hysterectomy (CLH)?
  3. Are there any difference in the occurrence of complications during or after SPLH and CLH surgeries?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic hysterectomy is to discuss with them the potential risks and benefits of different surgical techniques, such as single-port laparoscopic hysterectomy (SPLH) versus conventional laparoscopic hysterectomy (CLH). It is important for the patient to be informed about the higher failure rate associated with SPLH compared to CLH, so they can make an educated decision about which procedure is best for them. Additionally, the doctor may recommend choosing a surgeon who is experienced in performing the specific type of laparoscopic hysterectomy that is being considered.

Suitable For

Typically, patients who are recommended for laparoscopic hysterectomy are those who have conditions such as fibroids, endometriosis, abnormal uterine bleeding, pelvic pain, or certain types of cancer (such as uterine or cervical cancer). Additionally, patients who prefer a minimally invasive approach to surgery and a faster recovery time may also be recommended for laparoscopic hysterectomy. It is important for patients to discuss their individual medical history and surgical options with their healthcare provider to determine the best course of treatment for their specific condition.

Timeline

Before laparoscopic hysterectomy:

  1. Consultation with gynecologist to discuss symptoms and treatment options
  2. Pre-operative evaluations and tests such as blood work, imaging studies, and possibly a pelvic exam
  3. Discussion with surgeon about the procedure, risks, benefits, and recovery process

During laparoscopic hysterectomy:

  1. Anesthesia is administered to the patient
  2. Small incisions are made in the abdomen to insert a laparoscope and surgical instruments
  3. The uterus is removed using the laparoscopic instruments
  4. The incisions are closed with sutures or surgical glue

After laparoscopic hysterectomy:

  1. Recovery in the hospital or outpatient setting for a few hours to a few days
  2. Pain management and monitoring for any potential complications
  3. Follow-up appointments with the surgeon to monitor healing and address any concerns
  4. Gradual return to normal activities and exercise, with restrictions on lifting and strenuous activity for a few weeks
  5. Resumption of normal menstrual cycle and potential relief from symptoms that led to the hysterectomy

What to Ask Your Doctor

  1. What are the specific risks and benefits of single-port laparoscopic hysterectomy (SPLH) compared to conventional laparoscopic hysterectomy (CLH)?
  2. How experienced are you in performing both types of laparoscopic hysterectomy surgeries?
  3. What is the likelihood of needing additional surgery or conversion to an open procedure with SPLH compared to CLH?
  4. Are there any specific factors about my case that make one type of laparoscopic hysterectomy more suitable for me than the other?
  5. What is the recovery process like for each type of laparoscopic hysterectomy?
  6. Will I need to stay in the hospital overnight for either procedure?
  7. What are the potential long-term effects or complications associated with each type of laparoscopic hysterectomy?
  8. Are there any alternative treatment options to consider besides laparoscopic hysterectomy?
  9. How soon can I expect to return to normal activities after each type of laparoscopic hysterectomy?
  10. What follow-up care or monitoring will be necessary after the surgery, and how does it differ between SPLH and CLH?

Reference

Authors: Yang L, Gao J, Zeng L, Weng Z, Luo S. Journal: Int J Gynaecol Obstet. 2016 Apr;133(1):9-16. doi: 10.1016/j.ijgo.2015.08.013. Epub 2015 Dec 15. PMID: 26797206