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Archives of Gynecology and Obstetrics

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01-08-2011 | General Gynecology

Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision

Authors: Tuncay Küçüközkan, Enis Özkaya, Fatma Özlem Uçar, Osman Fadıl Kara

Published in: Archives of Gynecology and Obstetrics | Issue 2/2011

Abstract

Objective

The aim of this study was to analyze the perioperative outcomes of laparotomy with conventional midline incision and minilaparotomy in patients with large myomas, in a prospective and randomized manner.

Study design

From January 2005 to January 2009, 205 consecutive hysterectomies for large symptomatic myomas had been performed by abdominal approach. Patients were randomly assigned to minilaparotomy or midline incision.

Results

Groups were compared and found to be similar in terms of age, gravida, parity, body mass index, uterine size, operative time and intraoperative hemorrhage volume. Length of hospital stay, rate of surgical site infection and postoperative fever were significantly higher in the conventional laparotomy group with midline incision.

Conclusion

Minilaparotomy is an applicable procedure in hysterectomy for large myomas in the majority of women, resulting in decreased length of hospital stay and complication rates.

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Title: Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision
Authors: Tuncay Küçüközkan
Enis Özkaya
Fatma Özlem Uçar
Osman Fadıl Kara
Publication date: 01-08-2011
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 2/2011
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1684-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Hysterectomy for large symptomatic myomas: minilaparotomy versus midline vertical incision

Abstract

Objective

Study design

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Study design

Results

Conclusion

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