Abstract
Abstract Background: With more laparoscopic hysterectomies being performed for increasingly large uteri, prediction of surgical outcomes is becoming more important. There is a paucity of information regarding preoperative predictors of surgical outcomes in the large uterus that could be helpful in perioperative planning. Objective: The aim of this research was to examine the predictive value of ultrasonographically-measured uterine mass on surgical outcomes in total laparoscopic hysterectomy (TLH). Materials and Methods: This was a retrospective exploratory study analyzing surgical outcomes following TLH over a 15-year period. Subjects were recruited in four San Francisco area hospitals. For 1004 patients, data were collected regarding demographics, ultrasonographically measured uterine volumes, and surgical outcomes (operative time, estimated blood loss [EBL], length of hospital stay, and postoperative uterine mass). Uterine mass was calculated using the prolate ellipsoid formula and a volume-to-mass con...
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