{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:54Z","timestamp":1786739574965,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"Abstract<\/jats:title>\n \n Objectives:<\/jats:title>\n With the recent spread of laparoscopic hysterectomy (LH) and the rising rate of cesarean sections (CSs), increasing number of patients with a previous CS are undergoing total LH (TLH). Here, we retrospectively compared the surgical outcomes of TLH in patients with and without a history of CS.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n We analyzed the surgical outcomes and complications of 609 TLHs performed from 2013 to 2023, according to the presence or absence of previous CSs.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Of the 609 patients who underwent TLH, 92 (15.1%) had a history of CS, and by the number of CSs, 58 patients had 1 CS, 27 had 2 CSs, 6 had 3 CSs, and 1 had 4 CSs. There was no significant difference in surgical outcomes between the non-CS and CS groups. The main complication was bladder injury in one patient with 3 previous CSs; the incidence of bladder injury in the \u22653 CS group was significantly higher than that in the non-CS group. There were four cases of vaginal cuff dehiscence (2 each in the CS and non-CS groups, indicating no significant difference).<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n It is important to be aware that the risk of bladder injury is increased in patients with previous CSs, especially in those with 3 or more. In addition, care should be taken intraoperatively to avoid such injuries, and sufficient information about their risk should be obtained preoperatively.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/gmit.gmit-d-25-00012","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:00:09Z","timestamp":1779267609000},"page":"153-158","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Outcomes and Complications of Total Laparoscopic Hysterectomy in Patients with a Surgical History of Cesarean Section"],"prefix":"10.4103","volume":"15","author":[{"given":"Hiroyuki","family":"Yazawa","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsukasa Sanpei","family":"Ojima","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Fukushima Red Cross Hospital, Fukushima, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riho","family":"Yazawa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Anjo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Ohta Nishinouchi General Hospital, Koriyama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"R1-20260520","first-page":"CD003677","article-title":"Surgical approach to hysterectomy for benign gynaecological disease","volume":"2015","author":"Aarts","year":"2015","journal-title":"Cochrane Database Syst 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Surg"},{"key":"R7-20260520","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1111\/jog.13191","article-title":"Safety of total laparoscopic hysterectomy in patients with prior cesarean section","volume":"43","author":"Lim","year":"2017","journal-title":"J Obstet Gyanecol Res"},{"key":"R8-20260520","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1590\/1516-3180.2018.0197030718","article-title":"Characteristics of total laparoscopic hysterectomy among women with or without previous cesarean section:Retrospective analysis","volume":"136","author":"Koroglu","year":"2018","journal-title":"Sao Paulo Med J"},{"key":"R9-20260520","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1097\/AOG.0b013e318264f848","article-title":"Vaginal cuff closure after minimally invasive hysterec tomy:Our experience and systematic review of the literature","volume":"120","author":"Uccella","year":"2012","journal-title":"Obstet Gynecol"},{"key":"R10-20260520","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00404-021-06064-0","article-title":"Incidence of and risk factors for vaginal cuff dehiscence following total laparoscopic hysterectomy:A monocentric hospital analysis","volume":"304","author":"Radosa","year":"2021","journal-title":"Arch Gynecol Obstet"},{"key":"R11-20260520","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1097\/AOG.0000000000004007","article-title":"Risk factors for bowel injury in hysterectomy for benign indications","volume":"136","author":"Zhu","year":"2020","journal-title":"Obstet Gynecol"},{"key":"R12-20260520","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1097\/AOG.0000000000000855","article-title":"Bowel injury in gynecologic laparoscopy:A systematic review","volume":"125","author":"Llarena","year":"2015","journal-title":"Obstet Gynecol"}],"container-title":["Gynecology and Minimally Invasive Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.GMIT-D-25-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:30:09Z","timestamp":1786735809000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/gmit.GMIT-D-25-00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/gmit.gmit-d-25-00012","relation":{},"ISSN":["2213-3070","2213-3089"],"issn-type":[{"value":"2213-3070","type":"print"},{"value":"2213-3089","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-01-17","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}