Preoperative factors associated with the need for the morcellation in total laparoscopic hysterectomy

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dc.authorscopusidBerk Bulut / 24465134400
dc.authorwosidBerk Bulut / IAE-6700-2023
dc.contributor.authorKiyak H.
dc.contributor.authorKaraaslan O.
dc.contributor.authorDoga Seckin K.
dc.contributor.authorKaracan T.
dc.contributor.authorOzyurek E.S.
dc.contributor.authorYilmaz G.
dc.contributor.authorBulut, Berk
dc.date.accessioned2020-08-30T20:01:35Z
dc.date.available2020-08-30T20:01:35Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionBulut, Berk (isu author)
dc.description.abstractRemoval of uterus during laparoscopic hysterectomy (LH) is occasionally challenging and therefore sometimes requires morcellation. Morcellation techniques for hysterectomy can spread the cancer cells which were presumed benign preoperatively in to the abdomen or pelvis. Probability of an undetected malignity should not be disregarded and accordingly must be shared with the patient prior to LH. The present study aimed to identify the demographic and the clinical factors associated with the need for morcellation in patients undergoing LH. A total of 153 patients who underwent LH for presumed benign causes were enrolled in this retrospective study. Subjects were divided into two groups according to the need for the morcellation during the LH: Morcellation group and intact vaginal removal (IVR) group (it was possible to deliver the uterine specimen vaginally). The two groups were compared with respect to demographic and clinical characteristics, indications for LH, preoperative ultrasonographic findings and postoperative complications. The frequency of the postmenopausal women was significantly higher in the morcellation group than the IVR group (p = 0.005). Preoperative uterus width (p < 0.001) and postoperative Uterus weight (p < 0.001) were significantly higher in the morcellation group compared to that of the IVR group. There were no significant differences between the groups regarding the complication rate. Uterine weight (OR: 1.020, 95% CI: 1.008-1.031, p = 0.001) and menopause (OR: 2.571, 95% CI: 1.328-4.980, p < 0.001) were predictive for the need of morcellation. A cut-off value of 287.5 gram was able to predict the need for morcellation with 87% sensitivity and 71% specificity. The present study demonstrates that uterine weight and presence of the menopause are predictive for the need of morcellation at the time of the total LH. These factors should be considered in preoperative planning and used to further guide surgeons in providing LH. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.en_US
dc.identifier.citationKiyak, H., Karaaslan, O., Seckin, K. D., Karacan, T., Ozyurek, E. S., Yilmaz, G., & Bulut, B. (2020). Preoperative factors associated with the need for the morcellation in total laparoscopic hysterectomy. Eastern Journal of Medicine, 25(2), 260-266.en_US
dc.identifier.doi10.5505/ejm.2020.47135en_US
dc.identifier.endpage266en_US
dc.identifier.issn1301-0883en_US
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85083644013en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage260en_US
dc.identifier.trdizinid361736en_US
dc.identifier.urihttps://doi.org/10.5505/ejm.2020.47135
dc.identifier.urihttps://hdl.handle.net/20.500.12713/300
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.institutionauthorBulut, Berken_US
dc.language.isoenen_US
dc.publisherYuzuncu Yil Universitesi Tip Fakultesien_US
dc.relation.ispartofEastern Journal of Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectMorcellationen_US
dc.subjectTotal Laparoscopic Hysterectomyen_US
dc.subjectUterine Weighten_US
dc.titlePreoperative factors associated with the need for the morcellation in total laparoscopic hysterectomyen_US
dc.typeArticleen_US

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