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題 名 | Management of Major Complications in Laparoscopically Assisted Vaginal Hysterectomy=經腹腔鏡子宮全切除術之主要合併症處理 |
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作 者 | 李奇龍; 賴英明; 宋永魁; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 97:2 1998.02[民87.02] |
頁 次 | 頁139-142 |
分類號 | 417.3 |
關鍵詞 | 腹腔鏡; 子宮全切除術; 合併症處理; Operative complication; Laparoscopically assisted vaginal hysterectomy; Hysterectomy; |
語 文 | 英文(English) |
英文摘要 | We reviewed 722 laparoscopically assisted vaginal hysterectomies performed between March 1991 and March 1996 at our institute, looking at the management of major complications. The indications for hysterectomy included adenomyosis, myoma uteri, intractable menorrhagia, endometriosis, and severe pelvic adhesion. During 1 to 6 years' follow-up, there were 12 (1.7%) major complications, comprising six bladder injuries, one iliac artery perforation, two bowel injuries, two cases of partial intestinal obstruction, and one pelvic abscess. Four complications were repaired successfully by laparotomy, six were repaired laparoscopically or vaginally, and two were treated conservatively. All the cases with visceral injuries were detected intraoperatively, therefore, adequate repair operations could be performed uneventfully. Early detection and treatment allow complications to be resolved more easily. |
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