Laparoscopically Assisted Vaginal Hysterectomy for Women With Anterior Wall Adherence After Cesarean Section
- Title
- Laparoscopically Assisted Vaginal Hysterectomy for Women With Anterior Wall Adherence After Cesarean Section
- Author
- 최중섭
- Keywords
- Anterior wall adherence; Cesarean section; Hysterectomy; Laparoscopy
- Issue Date
- 2014-07
- Publisher
- SOC LAPAROENDOSCOPIC SURGEONS, 7330 SW 62 PL, STE 410, MIAMI, FL 33143-4825 USA
- Citation
- Obstetrics & Gynecology Science,Vol.58 No.6 [2015],501-506(6쪽)
- Abstract
- Objectives: To share and report experiences of using lateral approach technique to perform laparoscopically assisted vaginal hysterectomy (LAVH) for women with anterior wall adherence after cesarean section.Methods: We analyzed a retrospective chart review of 47 women with anterior wall adhesion after a cesarean section who underwent LAVH from March 1st 2003 to March 31st 2012, selected from a total of 1967 women who underwent LAVH during that period.Results: The median age of the patients was 42 years (range 34-56 years). The median operating time was 120 minutes (range 85-240 minutes), and the median weight of the removed uterus was 247 g (range 50-896 g). The median change in hemoglobin level was 2.0 g/dL (range 0-3.0 g/dL). The median hospital stay was 3.0 days (range 2-6 days). There were complications in 2 cases: bladder injury in one and postoperative ileus in the other. There were no conversions to laparotomy.Conclusions: Lateral approach technique to make a pneumoperitoneum and to perform adhesiolysis is effective in LAVH for women with anterior wall adherence after cesarean section.
- URI
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4154428/http://hdl.handle.net/20.500.11754/48904
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > ETC
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