Abstract

Grading scales for the surgical difficulty of laparoscopic cholecystectomy (LC) had been mentioned but not common. In order to clarify and compare grading score for the surgical difficulty of LC, we conducted this study to present our grading scoring method by measuring the time of laparoscopic cholecystectomy.

Highlights

  • Simple hysterectomy for benign uterine conditions is the second most common surgical procedure in operative gynecology after cesarean section [1]

  • As a leading European center for robot-assisted gynecological surgery, we reviewed all our cases of hysterectomy for the indication of uterus myomatosus from 20022015

  • Data were investigated as to the route of operation, type of hysterectomy, concomitant adnexectomy performed with the hysterectomies, patient characteristics, uterine weight, skin-to-skin time and intra- and postoperative morbidity

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Summary

Introduction

Simple hysterectomy for benign uterine conditions is the second most common surgical procedure in operative gynecology after cesarean section [1]. For a long time supracervical hysterectomy remained the preferred surgical technique for prevention of peritonitis and reduced risk of urinary tract injury. Due to high mortality rates of 70-90%, abdominal hysterectomy was formally condemned in the interim by the Academy of Medicine in Paris in 1872. With the introduction of modern anesthesia, antisepsis and improved surgical instruments Richardson in the United States successfully performed a total abdominal hysterectomy in 1929. Total hysterectomy replaced supracervical techniques for the benefit of prevention of cervical cancer. Abdominal hysterectomy is still the method of choice in large uteri or in case of complex surgery in the pelvis

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