Safety of laparoscopically assisted vaginal hysterectomy for women with anterior wall adherence after cesarean section
Obstetrics & Gynecology Science
;
: 501-506, 2015.
Artigo
em Inglês
| WPRIM
| ID: wpr-72981
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Paridade
/
Bexiga Urinária
/
Índice de Massa Corporal
/
Cesárea
/
Estudos Retrospectivos
/
Laparoscopia
/
Lacerações
/
Histerectomia
/
Histerectomia Vaginal
/
Tempo de Internação
Tipo de estudo:
Estudo observacional
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2015
Tipo de documento:
Artigo
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