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The authors aimed to detect inflammatory marker changes in two natural orifice hysterectomies: single-port laparoscopic hysterectomy (SLH) and vaginal hysterectomy (VH).
Between 2018 and 2019, data obtained from patients in the SLH and VH groups were reviewed retrospectively. The preoperative and postoperative hematocrit (HCT), hemoglobin (HB), white blood cell (WBC), platelet (PLR), and neutrophil-lymphocyte (NLR) ratios and values were compared as well as the demographic characteristics of the patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single port laparoscopic hysterectomies | Between 2018 and 2019, data obtained from patients in the SLH and VH groups were reviewed retrospectively. The preoperative and postoperative hematocrit (HCT), hemoglobin (HB), white blood cell (WBC), platelet (PLR), and neutrophil-lymphocyte (NLR) ratios and values were compared as well as the demographic characteristics of the patients. |
| |
| Vaginal hysterectomies | Between 2018 and 2019, data obtained from patients in the SLH and VH groups were reviewed retrospectively. The preoperative and postoperative hematocrit (HCT), hemoglobin (HB), white blood cell (WBC), platelet (PLR), and neutrophil-lymphocyte (NLR) ratios and values were compared as well as the demographic characteristics of the patients. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single port laparoscopic systems | Device | The first assistant handles the scope from the patient's right side. The second assistant, who is positioned between the legs of the patient, inserts a uterine manipulator (Rumi System; Cooper Surgical, CT). At the beginning of the surgery, a 1.5 to 2.5 cm vertical incision is made within the umbilicus using the open Hasson approach. After the bottom retractor ring of the wound retractor component of the Octo-Port is inverted (DalimSurgNet, Seoul, Korea), it is inserted through the incision deep in the peritoneum. Carbon dioxide is insufflated through the gas valve of the Octo-Port to maintain intra-abdominal pressure at 10 to 12 mm Hg. Through the 10 mm channels of the Octo-Port, a 10 mm, 30° rigid laparoscope is introduced. Rigid laparoscopic instruments are introduced through the 5 mm channels of the Octo-Port. The utero-ovarian ligament or infundibulopelvic ligament, uterine vessels, and uterine ligaments are transected by using the 5 mm LigaSure vessel sealer device |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in hematocrit levels | Hematocrit (%) levels in the first 24 hours after single port laparoscopic or vaginal hysterectomies were compared. | 1 day |
| Changes in hemoglobin levels | Hemoglobin levels in the first 24 hours after single port laparoscopic or vaginal hysterectomies were compared. | 1 day |
| Changes in white blood cell levels | white blood cell (x103/mm3), in the first 24 hours after single port laparoscopic or vaginal hysterectomies were compared. | 1 day |
| Changes in neutrophil-lymphocyte and platelet-lymphocyte ratio | neutrophil-lymphocyte and platelet-lymphocyte ratio in the first 24 hours after single port laparoscopic or vaginal hysterectomies were compared. | 1 day |
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Inclusion Criteria:
Exclusion Criteria:
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women without any other medical problem who need hysterectomy for any condition
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| Name | Affiliation | Role |
|---|---|---|
| mehmet ozsurmeli | Derince Training and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Derince Training and Research Hospital | Kocaeli | 1260 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15985258 | Background | Garry R. Health economics of hysterectomy. Best Pract Res Clin Obstet Gynaecol. 2005 Jun;19(3):451-65. doi: 10.1016/j.bpobgyn.2005.01.010. Epub 2005 Mar 2. | |
| 25510688 | Background | Yoon BS, Seong SJ, Kim IH, Song T, Kim ML, Kim MK. Operative outcomes of single-port-access laparoscopy-assisted vaginal hysterectomy compared with single-port-access total laparoscopic hysterectomy. Taiwan J Obstet Gynecol. 2014 Dec;53(4):486-9. doi: 10.1016/j.tjog.2013.07.003. |
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| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D007249 | Inflammation |
| ID | Term |
|---|---|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
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| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |