Safety of pelvic mass extraction through colpotomy in women taken to laparoscopic gynaecologic interventions at Hospital de San José de Bogotá, Colombia, 2016
DOI:
https://doi.org/10.18597/rcog.3058Keywords:
Morcellation, uterine myomectomy, laparoscopy, colpotomy, natural orifice endoscopic surgeryAbstract
Objective: To describe the safety of colpotomy in terms of intra- and post-operative complications in women taken to laparoscopy for the removal of benign masses.
Materials and methods: Case series of patients with benign adnexal or uterine masses taken to laparoscopic surgery and removal of the specimen through colpotomy. The patients signed the informed consent. Patients with obliterated posterior cul-de-sac, narrow vagina, absence or uterus, deep endometriosis, inflammatory pelvic disease, masses of less than 4 cm, were excluded. Consecutive sampling was used. Sociodemographic, clinical, qualitative and quantitative variables were studied by means of a descriptive analysis of the data. The research study was endorsed by the ethics committee of the institution.
Results: During the study period, 12 procedures for the removal of benign pelvic masses using posterior colpotomy were performed. Mean age was 34.3 years (IQR: 29-39,5). Of these cases, 50% were nulliparous women. Mean surgical time was 127 minutes (IQR: 90-150). There were no conversions to laparotomy, and there were no intra- or postoperative complications.
Conclusions: Posterior colpotomy is an option that can be considered in the removal of benign pelvic masses of more than 5 cm in size.Author Biographies
Rodrigo Ernesto Rodríguez-Ruiz
Ángel David Miranda-Cruz
Cesar Augusto Rendon-Becerra
Catalina Agudelo-Restrepo
References
American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Gynecology. Practice Bulletin No. 174: Evaluation and management of adnexal masses. Obstet Gynecol. 2016;128:e210-26. https://doi.org/10.1097/AOG.0000000000001768
Medeiros LR, Stein AT, Fachel J, Garry R, Furness S. Laparoscopy versus laparotomy for benign ovarian tumor: A systematic review and meta-analysis. Int J Gynecol Cancer. 2008;18:387-99. https://doi.org/10.1111/j.1525-1438.2007.01045.x
Medeiros LRF, Rosa DD, Bozzetti MC, Fachel JMG, Furness S, Garry R, et al. Laparoscopy versus laparotomy for benign ovarian tumour. Cochrane Database Syst Rev. 2009;(2):CD004751.
Miller CE. Methods of tissue extraction in advanced laparoscopy. Curr Opin Obstet Gynecol. 2001;13: 399-405.
Uccella S, Cromi A, Bogani G, Casarin J, Serati M, Ghezzi F. Transvaginal specimen extraction at laparoscopy without concomitant hysterectomy: Our experience and systematic review of the literature. J Minim Invasive Gynecol. 2013;20:583-90.
Ghezzi F, Cromi A, Uccella S, Bogani G, Serati M, Bolis P. Transumbilical versus transvaginal retrieval of surgical specimens at laparoscopy: A randomized trial. Am J Obstet Gynecol. 2012;207:112.e1-6.
Chou L-Y, Sheu B-C, Chang D-Y, Huang S-C, Chen S-Y, Hsu W-C, et al. Comparison between transumbilical and transabdominal ports for the laparoscopic retrieval of benign adnexal masses: A randomized trial. Eur J Obstet Gynecol Reprod Biol. 2010;153:198-202. https://doi.org/10.1016/j.ejogrb.2010.07.029
Wong LFA, Anglim B, Wahab NA, Gleeson N. A review of the open laparoscopic Hasson technique and retrieval of adnexal specimen via umbilicus. J Obstet Gynaecol. 2017;37:487-91. https://doi.org/10.1080/01443615.2016.1269226
Ghezzi F, Raio L, Mueller MD, Gyr T, Buttarelli M, Franchi M. Vaginal extraction of pelvic masses following operative laparoscopy. Surg Endosc. 2002;16:1691-6. https://doi.org/10.1007/s00464-002-9043-z
Clark LE, Menderes G, Tower AM, Silasi DA, Azodi M. A Simple approach to specimen retrieval via posterior colpotomy incision. JSLS. 2015;19(2). https://doi: 10.4293/JSLS.2014.00222.
Linke GR, Luz S, Janczak J, Zerz A, Schmied BM, Siercks I, et al. Evaluation of sexual function in sexually active women 1 year after transvaginal notes: A prospective cohort study of 106 patients. Langenbecks Arch Surg. 2013;398:139-45. https://doi.org/10.1007/s00423-012-0993-x.
Dubuisson JB, Chapron C. Uterine fibroids: Place and modalities of laparoscopic treatment. Eur J Obstet Gynecol Reprod Biol. 1996;65:91-4.
Goldfarb HA, Fanarjian NJ. Laparoscopic-assisted vaginal myomectomy: A case report and literature review. JSLS. 2001;5:81-5.
Duggal BS, Tarneja P, Sharma RK, Rath SK, Wadhwa RD. Laparoscopic management of adnexal masses. Med J Armed Forces India. 2004;60:28-30. https://doi.org/10.1016/S0377-1237(04)80153-9
Ou C-S, Harper A, Liu YH, Rowbotham R. Laparoscopic myomectomy technique. Use of colpotomy and the harmonic scalpel. J Reprod Med. 2002;47:849-53.
Committee on Gynecologic Practice. Committee Opinion No 701: Choosing the route of hysterectomy for benign disease. Obstet Gynecol. 2017;129:e155-9.https://doi.org/10.1097/AOG.0000000000002112
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