지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 501 - 506 (6page)
이용수
초록· 키워드
오류제보하기
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.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Chang FH. / 1994 / Use of palmer’s point for insertion of the operative laparoscope in patients with severe pelvic adhesions: experience of seventeen cases / J Am Assoc Gyn
Chang WC. / 2008 / Minimizing bladder injury in laparoscopically assisted vaginal hysterectomy among women with previous cesarean sections / Surg Endosc 22 : 171 ~ 176
Choi JS. / 2006 / The fourtrocar method for performing laparoscopically-assisted vaginal hysterectomy on large uteri / J Minim Invasive Gynecol 13 : 276 ~ 280
El-Shawarby SA. / 2011 / Uterine adherence to anterior abdominal wall after caesarean section / BJOG 118 : 1133 ~ 1135
Hamilton BE. / 2013 / Births : preliminary data for 2012 / Natl Vital Stat Rep 62 : 1 ~ 20
Chang WC. / 2008 / Minimizing bladder injury in laparoscopically assisted vaginal hysterectomy among women with previous cesarean sections / Surg Endosc 22 : 171 ~ 176
Choi JS. / 2006 / The fourtrocar method for performing laparoscopically-assisted vaginal hysterectomy on large uteri / J Minim Invasive Gynecol 13 : 276 ~ 280
El-Shawarby SA. / 2011 / Uterine adherence to anterior abdominal wall after caesarean section / BJOG 118 : 1133 ~ 1135
Hamilton BE. / 2013 / Births : preliminary data for 2012 / Natl Vital Stat Rep 62 : 1 ~ 20
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