Citation Information :
Wasinghon P, Ratanakaew A, Panpeng D. Utility of Surgical Glove made for Various Gynecologic Laparoscopic Surgery. J South Asian Feder Obs Gynae 2022; 14 (4):491-496.
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.
Dedden SJ, Geomini PMAJ, Huirne JAF, et al. Vaginal and Laparoscopic hysterectomy as an outpatient procedure: A systematic review. Eur J Obstet Gynecol Reprod Biol 2017;216:212–223. DOI: 10.1016/j.ejogrb.2017.07.015.
Margulies SL, Vargas MV, Denny K, et al. Comparing benign laparoscopic and abdominal hysterectomy outcomes by time. Surg Endosc 2020;34(2):758–769. DOI: 10.1007/s00464-019-06825-8.
Güngördük K, Aşıcıoğlu O, Gülseren V, et al. Evaluation of the optimal laparoscopic method for benign ovarian mass extraction: a transumbilical route using a bag made from a surgical glove versus a lateral transabdominal route employing a standard endobag. J Obstet Gynaecol 2020;40(3):378–381. DOI: 10.1080/01443615.2019.1623765.
Paik ES, Lim MC, Kim MH, et al. Comparison of laparoscopic and abdominal radical hysterectomy in early stage cervical cancer patients without adjuvant treatment: ancillary analysis of a Korean Gynecologic Oncology Group Study (KGOG 1028). Gynecol Oncol 2019;154(3):547–553. DOI: 10.1016/j.ygyno.2019.06.023.
Janda M, Gebski V, Davies LC, et al. Effect of total laparoscopic hysterectomy vs total abdominal hysterectomy on disease-free survival among women with stage I endometrial cancer: a randomized clinical trial. JAMA 2017;317(12):1224–1233. DOI: 10.1001/jama.2017.2068.
Melamed A, Keating NL, Clemmer JT, et al. Laparoscopic staging for apparent stage I epithelial ovarian cancer. Am J Obstet Gynecol 2017;216(1):50.e1–50.e12. DOI: 10.1016/j.ajog.2016.08.030.
Basaran D, Leitao MM Jr. The landmark series: minimally invasive surgery for cervical cancer. Ann Surg Oncol 2021;28(1):204–211. DOI: 10.1245/s10434-020-09265-0.
Bogani G, Maggiore ULR, Rossetti D, et al. Advances in laparoscopic surgery for cervical cancer. Crit Rev Oncol Hematol 2019;143:76–80. DOI: 10.1016/j.critrevonc.2019.07.021.
Shaltout MF, Elsheikhah A, Maged AM, et al. A randomized controlled trial of a new technique for laparoscopic management of ovarian endometriosis preventing recurrence and keeping ovarian reserve. J Ovarian Res 2019;12(1):66. DOI: 10.1186/s13048-019-0542-0.
Deckers P, Ribeiro SC, Simões RDS, et al. Systematic review and meta-analysis of the effect of bipolar electrocoagulation during laparoscopic ovarian endometrioma stripping on ovarian reserve. Int J Gynaecol Obstet 2018;140(1):11–17. DOI: 10.1002/ijgo.12338.
Glaser LM, Friedman J, Tsai S, et al. Laparoscopic myomectomy and morcellation: a review of techniques, outcomes, and practice guidelines. Best Pract Res Clin Obstet Gynaecol 2018;46:99–112. DOI: 10.1016/j.bpobgyn.2017.09.012.
Kotani Y, Murakami K, Yamamoto K, et al. Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy. BMC Pregnancy Childbirth 2021;21(1):321. DOI: 10.1186/s12884-021-03774-w.
Jiang D, Yang Y, Zhang X, et al. Laparoendoscopic single-site compared with conventional laparoscopic surgery for gynaecological acute abdomen in pregnant women. J Int Med Res 2021;49(10):3000605211053985. DOI: 10.1177/03000605211053985.
