Laparoscopic Hysterectomy

2011 (2) (33) _ Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Vol. (33) No. (2) 2011* (2011 / 4 / 10 .2011 / 1 / 18 )∇ ∇ (26) 2011/1/82010/9/9 : (6) • (12) • (8) • (13) (13) . : - (6) - / / •/ / •/ / •. ( %61.5 ) . •. •. •. •: , , : . – – – – - *9

2011 (2) (33) _ Tishreen University Journal for Research and Scientific Studies - Health Sciences Series Vol. (33) No. (2) 2011Laparoscopic HysterectomyDr . Ahmad Abdul Rahman *(Received 18 / 1 / 2011. Accepted 10 / 4 / 2011)∇ ABSTRACT ∇Our study includes 26 patients of the accepted patients at ELSHATBY UniversityHospital, Alexandria University, Egyptian Arab Republic over the period spanning from9/9/2010 to 8/1/2011; where they had Laparoscopic Hysterectomy Operations as follows:• 6 cases of Laparoscopic sub – total hysterectomy• 12 cases of Vaginal assisted laparoscopic hysterectomy• 8 cases of Laparoscopic total hysterectomyWe have performed half of the operations (13 cases) using Bipolar Coagulation, andthe other half (13 cases) using Ultracision Harmonic Scalpel. To cut the uterus body fromthe cervices in laparoscopic sub–total hysterectomy cases, which are (6 cases), we used:• (two cases) the Loop• Bipolar Coagulation (two cases)• Ultracision Harmonic Scalpel (two cases)The common cause of hysterectomy was myoma (61.5%)Conclusions:• Using cervical loop decreased the time of cutting the uterus body from the cervicesand reduced bleeding.• Using Ultracision Harmonic Scalpel decreased the time of operation• Vaginal assisted laparoscopic hysterectomy was the easiest way• Complications were little and insignificant -Keywords: Laparoscopy, Total Hysterectomy, Sub-Total Hysterectomy* Professor; Department of Obstetrics and Gynecology, Faculty of Medicine, Tishreen University,Lattakia, Syria.10

Tishreen University Journal. Health Sciences Series 2011 (2) (33) : %75 .[1] 1989 Reich %25 [2] , [3] [5] .[4] [7,6] .[9,4] . [8] : . . , : • ٕ , (Bipolar Coagulation) • • . ••.( Ultracision Harmonic Scalpel ) 52-37 /26/ 2010/9/9 2011/1/8 / 12/ . : -: - Storz SCB Unidrive Gyn 20 7111 2011

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Tishreen University Journal. Health Sciences Series 2011 (2) (33) %19.2(2) . . : )Cervical Loop Monopolar ( 1.5 . ( 100-30) . Bipolar . Ultracision Harmonic Scalpel (3) ( ) 0.23 ±2.3(Cervical Loop) 1.7 ± 20.7 + Bipolar 1.2 ± 14.7Ultracision Harmonic Scalpel . (3) (4) %15.14%3.8%26.9417 II I %26.9(4) . %26.9%3.8. (5) 71 %26.9(5) . (6) %61.5%11.5%27%100163726 II I 13

.(%61.5) (6) . (7) Ultracision HarmonicBipolar Scalpel %11.5 3%11.5 3 %33.1 6%33.1 6 %15.4 4%15.4 4 %50 13%50 13 Bipolar (%50) (7) .Ultracision Harmonic Scalpel (8) Ultracision HarmonicBipolar Scalpel19.4 ±132.210.2 ±98.318.6 ±127.7Ultracision Harmonic Scalpel20.8 ± 139.712.3 ± 118.416.7 ± 138.6 Bipolar (8) . %11.5%15.4%11.5%7.7 (9) 3432. (Morcellator ) ڥ . (9) / 4/ . 3.3 ± 18.7 2.3 ± 28.7 . 2.7 ± 24 14

Tishreen University Journal. Health Sciences Series 2011 (2) (33) : -. %23 , . (Loop) %46.2 . ( Cervical Loop ) ( 100-30 ) Monopolar Bipolar . Bipolar Ultracision Harmonic Scalpel . Ultracision Harmonic Scalpel . Bipolar . : :. •. (Loop) •. •. •. •(Ultracision Harmonic Scalpel. Loop): ••. . •15

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