Ultrasound Detection of Vault Hematoma Following Vaginal Hysterectomy and Their Relation to Morbidity / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 998-1004, 2003.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-107124
Responsible library:
WPRO
ABSTRACT
OBJECTIVE:
To assess whether ultrasound detection of vault hematoma can be used as a predictor of post-operative morbidity following vaginal hysterectomy.METHODS:
Prospective observational study of 418 consecutive cases of vaginal hysterectomy was performed between December 2000 and May 2001. The transvaginal sonographic examination of vaginal vault in the first postoperative week (3rd or 4th day) after vaginal hysterectomy was done. Routine observation and clinical assessments were made by established management protocol febrile morbidity, hemoglobin drop, need for transfusion, length of stay in hospital.RESULTS:
Of the 418 scaned patients, 103 (24.6%) had a vault hematoma. This group was compared with the 315 patients without hematoma. Significant increases in febrile morbidity (22.3% vs 7.6%), postoperative hemoglobin drop (2.39 g/dL vs 1.58 g/dL), need for blood transfusion (10.7% vs 1.3%) and length of hospital stay (8.6 days vs 6.2 days) were seen in the hematoma group.CONCLUSION:
Ultrasound detection of vault hematoma following vaginal hysterectomy is a common finding associated with increased febrile morbidity, hemoglobin drop, need for blood transfusion and longer hospital stay. Transvaginal sonography may facilitate the diagnosis of posthysterectomy vault hematoma, which are not readily detected by pelvic examination.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Blood Transfusion
/
Prospective Studies
/
Ultrasonography
/
Diagnosis
/
Gynecological Examination
/
Observational Study
/
Hematoma
/
Hysterectomy, Vaginal
/
Length of Stay
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2003
Document type:
Article