頁籤選單縮合
題名 | Laparoscopic Assisted Vaginal Hysterectomy--When Should it be an Alternative to Abdominal Hysterectomy= |
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作者 | Hwang,Jiann-loung; Wu,Chih-cheng; Ho,Hong-nerng; Tsai,Yieh Loong; Yang,Yu-shih; Huang,Su-cheng; Lee,Tzu-yao; |
期刊 | Journal of Reproduction and Infertility |
出版日期 | 19960300 |
卷期 | 5:1 1996.03[民85.03] |
頁次 | 頁5-11 |
分類號 | 417.142 |
語文 | eng |
關鍵詞 | Laparoscopic assisted vaginal hysterectomy; Abdominal total hysterectomy; |
英文摘要 | This report describes our experience of laparoscopic assisted vaginal hysterectomy (LAVH). Comparison is also made with abdominal total hysterectomy (ATH). The purpose of this study to was determine if LAVH is an alternative procedure to ATH. Totally 180 cases of hysterectomy were enrolled in this study. All patients were considered for LAVH initially, but if judged unsuitable, they were subjected to ATH. Videolaparoscope was introduced through a 10mm trocar at umbilicus and three other 5mm punctures were made to finish the procedure. Post-operative follow-up at OPD was made each week after discharge up to 3 months. LAVH was attempted in 139 patients and 13( 9.4%) were subjected to ATH. The age, parity, previous pelvic operation rate and indications were similar in the patients undergoing either operation. The major reasons for attempting ATH instead of LAVH were big fibroids (n=23), severe pelvic adhesion(n=17) and other medical illness (n=1). Thirteen cases, initially planned for LAVH, were instead treated by ATH due to severe pelvic adhesion (n=5) fibroid obliterating the cul-de-sac (n=2), high CO2 retention (n=3) and intraoperative complication (n=3). The febrile morbidity rate, blood loss, duration of hospitalization and recovery by LAVH were markedly (P<0.01) lower than in ATH, but the operation time was longer in patients receiving LAVH (152 ± 25 min VS.122 ± 31 min, P<0.01 ). Four major complications were encountered after LAVH: one ureter injury, one bowel injury, one bladder injury and one ileus. Ureter injury and ileus were also found in patients undergoing ATH. LAVH is thus a feasible procedure with acceptable complications and operation time if proper pre-operative selection of patients is made. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。