Assessment of factors with possible influence over the duration of laparoscopic hysterectomy
Tomov, S.; Gorchev, G.; Tanchev, L.; Popovska, S.; Nikolova, M.
Akusherstvo i Ginekologiia 51(5): 21-25
2012
ISSN/ISBN: 0324-0959 PMID: 23234032 Document Number: 662089
The duration of an operative intervention is directly related to the seriousness of the operative trauma. A group of 14 factors with possible influence over operative time was investigated on the basis of the analysis of 635 laparoscopic hysterectomies accomplished over a six-year period (2004-2010) at the Oncogynecological Clinic at "Georgi Stranski" University Hospital for Active Treatment, and "St. Marina" Specialized Hospital for Active Treatment in Obstetrics and Gynecology, Pleven, Bulgaria. The factors which prolong the operative time statistically significant are uterine prolapse, as an: indication for operation, emergence of complications, hemotransfusion, enlarged uterus to the size of m. l. IV-V and increase in the body mass index by 1 kappag/m2, while previous conization and every following year of accomplishment of a laparoscopic hysterectomy significant shorten operative time. The fact that previous abdominal operations do not affect the duration of laparoscopic hysterectomy significant, indirectly supports the proposition that they are not a contraindication for the given operative procedure.