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Piver's radical hysterectomy (type III): Endo-Gia 30 stapler versus traditional forcipressure for resection of the cardinal ligament [Bulletin]

 
[Hystérectomie élargie de Piver (type III) : méthode Endo-Gia 30 stapler versus traditionnelle pour la résection du ligament cardinal]
SCOLLO P ; SCIBILIA G ; NOCERA F ; RUGGERI R ; CAUDULLO S European Journal of Gynaecological Oncology
European Journal of Gynaecological Oncology. 2001; 423-426
Summary: Le but de cette étude est de comparer la méthode Endo-Gia stapler avec la technique traditionnelle. Cette étude a été conduite auprès de 2 groupes de patientes bénéficiant d'une hystérectomie élargie de Piver type III, entre janvier 1993 et juin 2000, dans un centre hospitalier italien. En conclusion, les résultats montrent que la méthode Endo-Gia stapler réduit significativement les pertes sanguines, la durée et le coût de l'intervention.

OBJECTIVE: Morbidity and costs associated with Piver's radical hysterectomy (type III) are noteworthy. The Endo-Gia stapler method for resection of cardinal ligaments can reduce duration of surgery and hospitalization, blood loss, costs and postoperative infection rates. METHOD: Two groups of patients (homogeneous for age, weight and medical condition) were studied: one group was operated on using the Endo-Gia stapler method (n=52) and the other with the traditional forcipressure (n=13). The size of parametrial tissue removed, blood loss, duration of surgery, duration of hospitalization, cost of materials and postoperative fever were compared in the two groups. RESULT: Mean operative times were lower in the Endo-Stapler group than in the controls (mean 180 min versus 220 min). Mean blood loss was 300 cc in the stapler group versus 450 cc in the forcipressure group. Mean cost of surgery (considering costs of materials, hospital stay. duration of surgery), was lower in the stapler group (3,095 euros) than in the group who underwent traditional surgery (3,434 euros). CONCLUSION: Our data suggest the Endo-Gia stapler method significantly reduces blood loss, operative time and cost.(RESUME D'AUTEUR)
Publication
2001

Pages
423-426

Language
Anglais

Number of ref
18

Published in
European Journal of Gynaecological Oncology

ID notice
318769

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