Aim: Laparoscopic surgery has more benefits of less blood loss, shorter hospital length of stay, and less postoperative pain when compared to open surgery. The purpose of this study is to elucidate the benefit of surgical gloves made for various gynecologic diseases in laparoscopy and technical skills in the patients.
Materials and methods: The study was an observational study at Buddhachnaraj Hospital, Phitsanulok, Thailand. The eligible 347 patients were diagnosed gynecologic conditions for laparoscopy between January 2019 and January 2022. The patients were informed and consented to the operations. The closed technique and open technique had designed to create the pneumoperitoneum owing to the diagnosis. The patients were observed for the outcomes after the laparoscopy within 1 month.
Results: The 347 patients were surgery by laparoscopy. The mean age was 44.89 ± 14.627, and the mean BMI was 22.68 ± 1.94 kg/m2. The mean blood loss and operative time were 89.26 ± 126.87 mL and 107.57 ± 26.07 minutes, respectively. The five most frequent diseases were leiomyoma in 83 patients (23.9%), endometrial carcinoma in 48 patients (13.8%), serous cystadenoma in 45 patients (13%), endometrioma in 33 patients (9.5%), and cervical carcinoma in 28 patients (8.1%). One hundred and sixty patients (46.1%) had undergone a hysterectomy. However, 69 patients (19.9%) had undergone complete surgical staging to diagnose ovarian and endometrial cancer. Fifty-one patients had undergone ovarian cystectomy (14.7%). The number of patients with salpingo-oophorectomy (SO), radical hysterectomy, and myomectomy were 23 (6.6%), 22 (6.3%), and 13 (3.7%), respectively. The patients got the benefit of various gynecologic laparoscopy free of charge on the universal health coverage project.
Conclusion: A feasible handmade cylinder glove with gauzes was inserted transvaginally to accumulate the pneumoperitoneum. Also, the 12-mm trocar was prepared at the middle finger of a surgical glove to accommodate the 10-mm 0°-laparoscope.
Clinical significance: Surgical glove is the advantage of laparoscopic gynecologic surgery.
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