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Optimizing vaginal hysterectomy in women with large volume non-prolapse uteri: a novel minimally-invasive "aneurysm needle clampless technique".

Eur J Obstet Gynecol Reprod Biol. 2014 Aug;179:1-4. doi: 10.1016/j.ejogrb.2014.04.045. Epub 2014 May 15.

Warda O1, Ehab S2, Mostafa E2, Maged E2, Tarek S2.

Eur J Obstet Gynecol Reprod Biol
ABSTRACT
AbstractOBJECTIVE: To describe and evaluate the safety and feasibility of a new clampless technique using aneurysm needle for vaginal hysterectomy compared with the standard technique as a less minimally-invasive procedure in women with benign large volume non-prolapse uteri.Study design In a pilot study, series of 46 consecutive women with benign large volume (200-500cm(3)) uterine conditions other than pelvic organ prolapse were planned for vaginal hysterectomy (VH). Patients were divided into 2 groups; group-A (21 women): for whom an (aneurysm needle clampless VH) was performed; group-B (25 women): used as a control (standard VH). Demographic characteristics and peri-operative parameters for both techniques were compared.Results Of the 46 vaginal hysterectomies, 44 were successfully performed (95.7%; 95% confidence interval, 91.6-99.4%). Two (4.3%) conversions were necessary from VH to open surgery [1 case in group A and another case in group B]. There was no statistically significant difference between both groups regarding the demographic data. Preoperative uterine volumes were comparable (232.8mL vs 226.0mL, respectively) (P>.05). The mean operative time was significantly shorter in the clampless VH group compared with the control group (70.14±7.78min vs 79.52±7.41min, respectively) (P=.007). No reported complications in our series.Conclusion Clampless VH using aneurysm needle represents a safe and less minimally-invasivepossible technique in women with benign large volume non-prolapse uteri. It takes a shorter operative.Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.
Full Text Source: Elsevier Science
PMID:24965970 | http://www.ncbi.nlm.nih.gov/pubmed/24965970

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