Single-port laparoscopic hysterectomy for uteri greater than 500 grams.

Abstract:

OBJECTIVES:To study the operative outcomes of single-port laparoscopic hysterectomy in uteri greater than 500 g, using either laparoscopic assisted vaginal hysterectomy (LAVH) or laparoscopic supracervical hysterectomy (LSH). MATERIALS AND METHODS:78 patients were included in a single institute by a single surgeon from March, 2013 to January, 2018. RESULTS:The median uterine weight was 686.5 g. Larger uterine weight was correlated with longer operative time and greater estimated blood loss. Two types of operations were performed: LAVH (n = 55) or LSH (n = 23). There were no differences in operative time (150.2 ± 45.1 vs. 158.6 ± 82.1, P = 0.66) and estimated blood loss (365.8 ± 298.5 vs. 356.5 ± 46.6, ml, P = 0.94) between LAVH and LSH. However, patients in LAVH had more excess blood loss (>500 mL) compared with LSH (32.7% vs. 21.7%, P = 0.42). In the later study period, the operative time was shorter and complication rates were lower. Such differences were especially significant in the LAVH group. By multiple regression analysis, operative time was independently correlated with age, body mass index, estimated blood loss and uterine weight in LAVH. The correlation between operative time and uterine weight in LSH was attenuated by estimated blood loss. Estimated blood loss was the dominant factor correlated with longer operative time in LSH. CONCLUSIONS:Both LAVH and LSH could be feasible in uteri greater than 500 g. LSH appeared to have less complication and less blood loss than LAVH. Operative time was correlated significantly with bleeding amount. Therefore, better bleeding control and surgical experience were warrants for single-port laparoscopic hysterectomy in uteri greater than 500 g.

authors

Shen H,Torng PL,Chen IH,Hsu HC

doi

10.1016/j.tjog.2020.05.006

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

502-507

issue

4

eissn

1028-4559

issn

1875-6263

pii

S1028-4559(20)30105-4

journal_volume

59

pub_type

杂志文章
  • Molecular cytogenetic characterization of Xp22.32→pter deletion and Xq26.3→qter duplication in a male fetus associated with 46,Y,rec(X)dup(Xq) inv(X)(p22.3q26.3), a hypoplastic left heart, short stature, and maternal X chromosome pericentric inversion.

    abstract:OBJECTIVE:We present molecular cytogenetic characterization of an Xp22.32→pter deletion and an Xq26.3→qter duplication in a male fetus with congenital malformations and maternal X chromosome pericentric inversion. MATERIALS AND METHODS:A 22-year-old woman underwent amniocentesis at 17 weeks of gestation because of an ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2016.05.009

    authors: Chen CP,Chen CY,Chern SR,Wu PS,Chen YN,Chen SW,Lee CC,Town DD,Lee MS,Yang CW,Wang W

    更新日期:2016-10-01 00:00:00

  • Longitudinal changes in bone mineral density of healthy elderly women in southern Taiwan.

    abstract:OBJECTIVE:Longitudinal data on bone decline in ethnic Chinese elderly are sparse, especially in healthy, aged women. This study reviews the longitudinal change in bone mineral density (BMD) at the femoral neck, great trochanter, and Ward's triangle in healthy elderly Taiwanese women. MATERIALS AND METHODS:A prospectiv...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2012.08.001

    authors: Chen CH,Kang L,Huang HT,Chang JK,Wu SF,Lin SY,Cheng YM,Chiu HC

    更新日期:2013-03-01 00:00:00

  • Abnormal glucose tolerance is associated with preterm labor and increased neonatal complications in Taiwanese women.

    abstract:OBJECTIVE:To investigate the relationship between abnormal degrees of oral glucose tolerance test (OGTT) results and pregnancy outcomes. MATERIALS AND METHODS:A total of 7513 singleton pregnancies screened for gestational diabetes mellitus were enrolled in this retrospective observational study. The pregnancy outcomes...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2013.10.005

    authors: Wang P,Lu MC,Yan YH

    更新日期:2013-12-01 00:00:00

  • Application of non-invasive prenatal testing in late gestation in a pregnancy associated with intrauterine growth restriction and trisomy 22 confined placental mosaicism.

    abstract:OBJECTIVE:We present the application of non-invasive prenatal testing (NIPT) in late gestation in a pregnancy associated with intrauterine growth restriction (IUGR) and trisomy 22 confined placental mosaicism (CPM). CASE REPORT:A 35-year-old pregnant woman underwent chorionic villus sampling (CVS) at 12 weeks of gesta...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2017.09.001

    authors: Chen CP,Tsai C,Lin MH,Chern SR,Chen SW,Lai ST,Chen WL,Pan CW,Wang W

    更新日期:2017-10-01 00:00:00

  • Ruptured tubo-ovarian abscess in a postmenopausal woman presenting with septic shock: a case report and literature review.

    abstract:OBJECTIVE:To report a case of a ruptured tubo-ovarian abscess which induced septic shock in a postmenopausal woman. CASE REPORT:A 53-year-old postmenopausal woman was transferred to our emergency department for drowsiness, hypotension, and lower abdominal discomfort. Transabdominal sonography and computed tomography s...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/s1028-4559(09)60202-3

    authors: Chia CC,Huang SC

    更新日期:2006-03-01 00:00:00

  • Effective reduction in inadequate Pap smears by using a saline-lubricated speculum and two glass slides.

    abstract:OBJECTIVE:The aim of the study was to propose a method using saline lubrication and two glass slides to reduce the proportion of inadequate Pap smears. MATERIALS AND METHODS:This was a retrospective study of patients at a medical center in eastern Taiwan that performs 5000-6000 Pap smears annually. The extracted data ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2020.09.018

    authors: Chen CJ,Hong MK,Ding DC

    更新日期:2020-11-01 00:00:00

  • Detection of paternal origin of fetal trisomy 21 in a pregnancy with isolated ventriculomegaly but without advanced parental age.

    abstract:OBJECTIVE:We present detection of paternal origin of fetal trisomy 21 in a pregnancy with isolated ventriculomegaly but without advanced parental age. CASE REPORT:A 29-year-old pregnant woman was admitted to the hospital at 18 weeks of gestation for tocolytic treatment because of irregular uterine contractions. Her hu...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type:

    doi:10.1016/j.tjog.2020.05.025

    authors: Chen CP,Huang WC,Chern SR,Chen SW,Wu FT,Lee MS,Wang W

    更新日期:2020-07-01 00:00:00

  • Cryotop vitrification as compared to conventional slow freezing for human embryos at the cleavage stage: survival and outcomes.

    abstract:OBJECTIVE:This study was conducted to compare the efficacy of cryotop vitrification of human cleavage-stage embryos to that of conventional slow freezing of these embryos with respect to survival. A second objective was to compare the two cryopreservation techniques with respect to outcomes for a cohort of women. MATE...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/S1028-4559(10)60060-5

    authors: Lin TK,Su JT,Lee FK,Lin YR,Lo HC

    更新日期:2010-09-01 00:00:00

  • Phenotype to genotype characterization by array-comparative genomic hydridization (a-CGH) in case of fetal malformations: A systematic review.

    abstract::The aim of the current review is to report a-CGH abnormalities identified in fetuses with prenatally diagnosed fetal malformations in whom a normal karyotype was diagnosed with conventional cytogenetic analysis. A systematic electronic search of databases (PubMed/Medline, EMBASE/SCOPUS) has been conducted from incepti...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2018.11.003

    authors: Tonni G,Palmisano M,Perez Zamarian AC,Rabachini Caetano AC,Santana EFM,Peixoto AB,Armbruster-Moraes E,Ruano R,Araujo Júnior E

    更新日期:2019-01-01 00:00:00

  • Microarray analysis of gene expression of cancer to guide the use of chemotherapeutics.

    abstract::The beauty of microarray analysis of gene expression (MAGE) is that it can be used to discover some genes that were previously thought to be unrelated to a physiologic or pathologic event. During the period from 1999 to 2007, applications of MAGE in cancer investigation have shifted from molecular profiling, identifyi...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/S1028-4559(08)60024-8

    authors: Wang TH,Chao A

    更新日期:2007-09-01 00:00:00

  • Tuboovarian abscesses in postmenopausal women.

    abstract:OBJECTIVE:To compare the clinical features of tuboovarian abscess (TOA) in pre- and postmenopausal women. MATERIALS AND METHODS:Between January 1992 and December 2000, all patients with surgically documented TOA at National Taiwan University Hospital were enrolled into this retrospective study. Salient information wit...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/S1028-4559(09)60231-X

    authors: Hsiao SM,Hsieh FJ,Lien YR

    更新日期:2006-09-01 00:00:00

  • Detection of altered methylation status at 11p15.5 and 7q32 in placental mesenchymal dysplasia.

    abstract:OBJECTIVE:This paper aims to present molecular cytogenetic and epigenetic evaluation of placental mesenchymal dysplasia (PMD). MATERIALS AND METHODS:A 33-year-old woman was referred to the hospital at 18 weeks of gestation because of a multicystic mass in the placenta. Ultrasound showed a normal amount of amniotic flu...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2013.10.036

    authors: Chen CP,Su YN,Lin MH,Wang TY,Chern SR,Kuo YL,Chen YT,Wang W

    更新日期:2014-03-01 00:00:00

  • Review of care and management of pregnant women during COVID-19 pandemic.

    abstract::Coronavirus disease-19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Covid-19 pandemic began in the end of 2019 and spread all over the world in a short duration of time. Measures have been taken such as social distancing, compulsory lockdown and restriction of activities so as ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.tjog.2020.09.001

    authors: Goyal M,Singh P,Melana N

    更新日期:2020-11-01 00:00:00

  • Hysteroscopic fetoscopy: A role as virtuopsy for parents who refuse full autopsy? A case of facial clefting, proboscis, and limb deformities.

    abstract:OBJECTIVE:To describe the value of hysteroscopic fetoscopy (virtuopsy) at the time of uterine suction in a case of early diagnosis of congenital anomalies in parents refusing conventional full autopsy examination. CASE REPORT:First trimester ultrasound diagnosis of proboscis, median cleft lip and palate and limb defor...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2015.08.016

    authors: Tonni G,Periti E,Rosignoli L

    更新日期:2015-10-01 00:00:00

  • Complete resolution of hydrops by placement of double basket catheter in a case of macrocystic type multilocular pulmonary sequestration.

    abstract:OBJECTIVE:We presented a fetus affected by macrocystic lung lesions with progressive hydropic changes during the second trimester, but experienced remarkable resolution of hydrops in the third trimester after a series of in utero interventions. CASE REPORT:A 19-year-old women, G1P0, presented with fetal multilocular t...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2017.04.027

    authors: Wu WJ,Shih JC,Sago H,Chen M

    更新日期:2017-06-01 00:00:00

  • Frequency of postnatal hydronephrosis in infants with a renal anterior-posterior pelvic diameter > 4 mm on midtrimester ultrasound.

    abstract:OBJECTIVE:To examine the association of antenatal renal pelvic dilatation observed on midtrimester ultrasound screening with the presence of hydronephrosis in newborn infants. MATERIALS AND METHODS:The records of patients who received fetal ultrasound examination at 18-28 weeks' gestation from May 2008 to March 2012 w...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2015.08.007

    authors: Chou CY,Chen LC,Cheong ML,Tsai MS

    更新日期:2015-10-01 00:00:00

  • Prevalence of urinary frequency among women aged 60 years and older in Taiwan.

    abstract:OBJECTIVE:To evaluate the prevalence of daytime urinary frequency among Taiwanese women aged 60 years and older. MATERIALS AND METHODS:There were an estimated 1.25 million female residents aged 60 years and over in Taiwan in 2000. A sample of 2,410 women was selected using a multistage random sampling method. Face-to-...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/S1028-4559(09)60328-4

    authors: Hsieh CH,Chang WC,Hsu MI,Lee MC,Lee MS,Chiang HS,Chang ST,Su TH,Lu KP,Lee SH,Chen FM

    更新日期:2009-12-01 00:00:00

  • Standard and low-dose hormone therapy for postmenopausal women--focus on the breast.

    abstract::Menopause occurs naturally when the ovary ceases folliculogenesis, or artificially by surgical and/or medical ablation of the ovarian function. Menopause is a hypoestrogenic state, which may adversely affect estrogen target tissues, such as the brain, skeleton and skin, as well as the cardiovascular and genitourinary ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/S1028-4559(07)60006-0

    authors: Wang PH,Horng HC,Cheng MH,Chao HT,Chao KC

    更新日期:2007-06-01 00:00:00

  • Acquired uterine vascular abnormalities associated with persistent human chorionic gonadotropin: Experience at a Korean teaching hospital.

    abstract:OBJECTIVE:The aim of this study was to describe our experience with the diagnosis and management of acquired uterine vascular abnormalities associated with persistent human chorionic gonadotropin (hCG). Through this case series, we sought to establish our protocol for the treatment and follow-up of uterine vascular les...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2014.06.008

    authors: Ju da H,Yi SW,Sohn WS,Lee SS

    更新日期:2015-12-01 00:00:00

  • Persistent papillomavirus type-31 and type-45 infections predict the progression to squamous intraepithelial lesion.

    abstract:OBJECTIVE:Human papillomavirus (HPV) has been recognized as the major etiologic agent of cervical squamous cell carcinoma. However, it has been demonstrated that HPV infection is usually a self-limited process and does not lead to significant epithelial lesions or cancer. Recent data indicate that persistent high-risk ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2014.06.001

    authors: Schettino MT,Ammaturo FP,Grimaldi E,Legnante A,Marcello A,Donnarumma G,Colacurci N,Torella M

    更新日期:2014-12-01 00:00:00

  • Prenatal diagnosis of congenital cystic adenomatoid malformations: evolution and outcome.

    abstract:OBJECTIVE:The aim of this study was to describe the natural history and outcomes of fetal congenital cystic adenomatoid malformation (CCAM) of the lung in three antenatally diagnosed cases. CASE REPORT:Three women whose fetuses had CCAM of the lung between 2004 and 2006 chose to continue their pregnancies. We followed...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/S1028-4559(09)60304-1

    authors: Chen WS,Yeh GP,Tsai HD,Hsieh CT

    更新日期:2009-09-01 00:00:00

  • The role of low molecular weight heparin on recurrent pregnancy loss: A systematic review and meta-analysis.

    abstract::To assess the roles of the low molecular weight heparin (LMWH) on recurrent pregnancy loss (RPL). The relevant studies of all randomized controlled trials (RCTs) were retrieved, and the systematic evaluation was conducted. PubMed, Embase, and Cochrane library databases were searched by using keywords, including low-mo...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.tjog.2020.11.001

    authors: Jiang F,Hu X,Jiang K,Pi H,He Q,Chen X

    更新日期:2021-01-01 00:00:00

  • First report comparing the two types of single-incision robotic sacrocolpopexy: Single site using the da Vinci Xi or Si system and single port using the da Vinci SP system.

    abstract:OBJECTIVE:The gold standard procedure for treating patients with apical pelvic organ prolapse (POP) is sacrocolpopexy. However, no report comparing the two types of single-incision robotic sacrocolpopexy, namely, single-site robotic sacrocolpopexy (SS-RSC) and single-port robotic sacrocolpopexy (SP-RSC) exists. Therefo...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2020.10.007

    authors: Lee SR,Roh AM,Jeong K,Kim SH,Chae HD,Moon HS

    更新日期:2021-01-01 00:00:00

  • Two cesarean deliveries after hemi-hysterectomy due to gestational trophoblastic neoplasia.

    abstract:OBJECTIVE:Although uterine didelphys per se is not associated with an impaired ability to conceive, the association between uterine anomalies and gestational trophoblastic neoplasia (GTN) remains unclear. The management of chemotherapy-resistant GTN in women with uterine didelphys raises a new issue regarding whether t...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2018.02.024

    authors: Kai K,Kawano Y,Yano M,Okamoto M,Hori E,Nasu K,Narahara H

    更新日期:2018-04-01 00:00:00

  • Galloway-Mowat syndrome: prenatal ultrasound and perinatal magnetic resonance imaging findings.

    abstract:OBJECTIVE:To present prenatal ultrasound and perinatal magnetic resonance imaging (MRI) findings of Galloway-Mowat syndrome. CASE REPORT:A 31-year-old woman, gravida 3, para 2, was referred for genetic counseling at 29 weeks of gestation because of abnormal ultrasound findings and a previous child with Galloway-Mowat ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2011.04.005

    authors: Chen CP,Lin SP,Liu YP,Tsai JD,Chen CY,Shih SL,Tsai FJ,Wu PC,Wang W

    更新日期:2011-06-01 00:00:00

  • Comparison of Quinn's Advantage fertilization medium and tissue culture medium 199 for in vitro maturation of oocytes.

    abstract:OBJECTIVE:The purpose of the study was to compare the Quinn's Advantage fertilization medium (Q1) and the tissue culture medium 199 (TCM199) for in vitro maturation (IVM) of oocytes and ammonium production during IVM. MATERIALS AND METHODS:The immature murine oocytes were randomly added into Q1 and TCM199. Ammonium co...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2013.12.001

    authors: Lin YH,Hwang JL,Huang LW,Seow KM,Hsieh BC,Tzeng CR

    更新日期:2014-03-01 00:00:00

  • Three-cycle fentanyl patch system contributes to stable control of plasma fentanyl concentration in gynecologic cancer pain patients.

    abstract:OBJECTIVE:Pain affects many cancer patients in advancing stages, lowering the level of their quality of life. Morphine has long been the "gold standard" for the treatment of cancer pain; however, its side effects, particularly sedation and cognitive impairment at high doses, have encouraged the use of "opioid rotation"...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2011.01.006

    authors: Kanamori C,Kanamori T,Tanaka Y,Kanzaki H

    更新日期:2011-03-01 00:00:00

  • Prenatal diagnosis and molecular cytogenetic characterization of low-level mosaicism for tetrasomy 18p at amniocentesis in a pregnancy with a favorable outcome.

    abstract:OBJECTIVE:We present prenatal diagnosis of low-level mosaicism for tetrasomy 18p at amniocentesis in a pregnancy with a favorable outcome. CASE REPORT:A 40-year-old woman underwent amniocentesis at 17 weeks of gestation because of advanced maternal age. Amniocentesis revealed a de novo supernumerary isochromosome 18p ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2017.10.024

    authors: Chen CP,Ko TM,Chen YY,Chern SR,Wu PS,Chen SW,Lai ST,Chuang TY,Yang CW,Pan CW,Wang W

    更新日期:2017-12-01 00:00:00

  • Low-risk gestational trophoblastic neoplasia outcome after treatment with VMP regimen from 2005 to 2017.

    abstract:OBJECTIVE:To evaluate the efficacy and toxicity of VMP regimen applied to the patients with low-risk gestational trophoblastic neoplasia (LR-GTN) treated in Anhui provincial hospital. MATERIALS AND METHODS:Between 2005 and 2017, 87 patients with low-risk gestational trophoblastic neoplasia received VMP regimen, consis...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章

    doi:10.1016/j.tjog.2019.03.008

    authors: Zhu CC,Liu HY,Wei Y,Shen Z,Qian LL,Song WG,Wang J,Wu DB,Zhang XF,Zhou Y

    更新日期:2019-05-01 00:00:00

  • The effect of mother-infant skin to skin contact on success and duration of first breastfeeding: A systematic review and meta-analysis.

    abstract::Breast-feeding initiation within the first half hour after birth is one of the World Health Organization recommendations. However, in most hospitals, mother-infant contact and breast-feeding initiation are delayed due to routine mother and infant care. This study aimed to determine the effect of mother-infant skin to ...

    journal_title:Taiwanese journal of obstetrics & gynecology

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.tjog.2018.11.002

    authors: Karimi FZ,Sadeghi R,Maleki-Saghooni N,Khadivzadeh T

    更新日期:2019-01-01 00:00:00