Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy
Background. We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators...
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doaj-dc3dee5596394735a9676b5b1009f7652020-11-24T23:28:37ZengHindawi LimitedObstetrics and Gynecology International1687-95891687-95972018-01-01201810.1155/2018/38025323802532Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic HysterectomyMasakazu Sato0Minako Koizumi1Kei Inaba2Yu Takahashi3Natsuki Nagashima4Hiroshi Ki5Nao Itaoka6Chiharu Ueshima7Maki Nakata8Yoko Hasumi9Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanDepartment of Obstetrics and Gynecology, Mitsui Memorial Hospital, Chiyoda-ku, Tokyo, JapanBackground. We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. Methods. The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled. We identified 1749 cases (A: 90, B: 105, and C: 325 of open surgery and A: 667, B: 437, and C: 125 of laparoscopic surgery). We considered the sum as an estimation of blood loss during surgery and the change in the value of hemoglobin in laboratory testing one day before and after surgery. Results. During laparoscopic surgery, the measurements of blood loss included the following: A: 59.8 ml; B: 168.6 ml; and C: 206.8 ml. During open surgery, measurements of blood loss included the following: A: 130.7 ml; B: 236.7 ml; and C; 280.9 ml. The reduction of hemoglobin after surgery compared with that before surgery was less in laparoscopic surgery than that in open surgery in A and B; however, this reduction was not significantly different in C. Conclusion. Our results suggest that the estimation of the bleeding in A and B was appropriate; however, the estimation might be underestimated in C during laparoscopic surgery.http://dx.doi.org/10.1155/2018/3802532 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Masakazu Sato Minako Koizumi Kei Inaba Yu Takahashi Natsuki Nagashima Hiroshi Ki Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi |
spellingShingle |
Masakazu Sato Minako Koizumi Kei Inaba Yu Takahashi Natsuki Nagashima Hiroshi Ki Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy Obstetrics and Gynecology International |
author_facet |
Masakazu Sato Minako Koizumi Kei Inaba Yu Takahashi Natsuki Nagashima Hiroshi Ki Nao Itaoka Chiharu Ueshima Maki Nakata Yoko Hasumi |
author_sort |
Masakazu Sato |
title |
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy |
title_short |
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy |
title_full |
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy |
title_fullStr |
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy |
title_full_unstemmed |
Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy |
title_sort |
gynecologists may underestimate the amount of blood loss during total laparoscopic hysterectomy |
publisher |
Hindawi Limited |
series |
Obstetrics and Gynecology International |
issn |
1687-9589 1687-9597 |
publishDate |
2018-01-01 |
description |
Background. We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. Methods. The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled. We identified 1749 cases (A: 90, B: 105, and C: 325 of open surgery and A: 667, B: 437, and C: 125 of laparoscopic surgery). We considered the sum as an estimation of blood loss during surgery and the change in the value of hemoglobin in laboratory testing one day before and after surgery. Results. During laparoscopic surgery, the measurements of blood loss included the following: A: 59.8 ml; B: 168.6 ml; and C: 206.8 ml. During open surgery, measurements of blood loss included the following: A: 130.7 ml; B: 236.7 ml; and C; 280.9 ml. The reduction of hemoglobin after surgery compared with that before surgery was less in laparoscopic surgery than that in open surgery in A and B; however, this reduction was not significantly different in C. Conclusion. Our results suggest that the estimation of the bleeding in A and B was appropriate; however, the estimation might be underestimated in C during laparoscopic surgery. |
url |
http://dx.doi.org/10.1155/2018/3802532 |
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