Your browser doesn't support javascript.
loading
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy.
Sato, Masakazu; Koizumi, Minako; Inaba, Kei; Takahashi, Yu; Nagashima, Natsuki; Ki, Hiroshi; Itaoka, Nao; Ueshima, Chiharu; Nakata, Maki; Hasumi, Yoko.
Afiliación
  • Sato M; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Koizumi M; Department of Obstetrics and Gynecology, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
  • Inaba K; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Takahashi Y; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Nagashima N; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Ki H; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Itaoka N; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Ueshima C; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Nakata M; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
  • Hasumi Y; Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, Japan.
Obstet Gynecol Int ; 2018: 3802532, 2018.
Article en En | MEDLINE | ID: mdl-30647741
BACKGROUND: We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. METHODS: The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled. We identified 1749 cases (A: 90, B: 105, and C: 325 of open surgery and A: 667, B: 437, and C: 125 of laparoscopic surgery). We considered the sum as an estimation of blood loss during surgery and the change in the value of hemoglobin in laboratory testing one day before and after surgery. RESULTS: During laparoscopic surgery, the measurements of blood loss included the following: A: 59.8 ml; B: 168.6 ml; and C: 206.8 ml. During open surgery, measurements of blood loss included the following: A: 130.7 ml; B: 236.7 ml; and C; 280.9 ml. The reduction of hemoglobin after surgery compared with that before surgery was less in laparoscopic surgery than that in open surgery in A and B; however, this reduction was not significantly different in C. CONCLUSION: Our results suggest that the estimation of the bleeding in A and B was appropriate; however, the estimation might be underestimated in C during laparoscopic surgery.
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Obstet Gynecol Int Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Obstet Gynecol Int Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Estados Unidos