Safety of laparoscopically assisted vaginal hysterectomy for women with anterior wall adherence after cesarean section

Title
Safety of laparoscopically assisted vaginal hysterectomy for women with anterior wall adherence after cesarean section
Authors
최중섭
Keywords
Anterior wall adherence; Cesarean section; Hysterectomy; Laparoscopy
Issue Date
2015-11
Publisher
대한산부인과학회
Citation
Obstetrics & Gynecology Science, v. 58, NO 6, Page. 501-506
Abstract
Objective To evaluate the safety and surgical outcomes of laparoscopically assisted vaginal hysterectomy (LAVH) for women with anterior wall adherence after cesarean section. Methods We conducted a retrospective study of 328 women with prior cesarean section history who underwent LAVH from March 2003 to July 2013. The subjects were classified into two groups: group A, with anterior wall adherence (n=49); group B, without anterior wall adherence (n=279). We compared the demographic, clinical characteristics, and surgical outcomes of two groups. Results The median age and parity of the patients were 46 years (range, 34 to 70 years) and 2 (1 to 6). Patients with anterior wall adherence had longer operating times (175 vs. 130 minutes, P<0.05). There were no significant differences in age, parity, number of cesarean section, body mass index, specimen weight, postoperative change in hemoglobin concentration, or length of hospital stay between the two groups. There was one case from each group who sustained bladder laceration during the vaginal portion of the procedure, both repaired vaginally. There was no conversion to abdominal hysterectomy in either group. Conclusion LAVH is effective and safe for women with anterior wall adherence after cesarean section.
URI
https://synapse.koreamed.org/DOIx.php?id=10.5468/ogs.2015.58.6.501http://hdl.handle.net/20.500.11754/29152
ISSN
2287-8572; 2287-8580
DOI
http://dx.doi.org/10.5468/ogs.2015.58.6.501
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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