Laparoscopically Assisted Vaginal Hysterectomy for Women With Anterior Wall Adherence After Cesarean Section
- Authors
- Park, Sue Yeon; Lee, Jung Hun; Choi, Joong Sub; Bae, Jaeman; Lee, Won Moo; Ko, Jung Hwa; Koh, A. Ra; Park, Seon Hye
- Issue Date
- Jul-2014
- Publisher
- SOC LAPAROENDOSCOPIC SURGEONS
- Keywords
- Adhesion; Cesarean section; Hysterectomy; Laparoscopic surgery
- Citation
- JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, v.18, no.3, pp.1 - 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
- Volume
- 18
- Number
- 3
- Start Page
- 1
- End Page
- 4
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/159614
- DOI
- 10.4293/JSLS.2014.00315
- ISSN
- 1086-8089
- Abstract
- Objectives: To share and report experiences of using lateral approach technique to perform laparoscopically assisted vaginal hysterectomy (LAVH) for women with anterior wall adherence after cesarean section. Methods: We analyzed a retrospective chart review of 47 women with anterior wall adhesion after a cesarean section who underwent LAVH from March 1st 2003 to March 31st 2012, selected from a total of 1967 women who underwent LAVH during that period. Results: The median age of the patients was 42 years (range 34-56 years). The median operating time was 120 minutes (range 85-240 minutes), and the median weight of the removed uterus was 247 g (range 50-896 g). The median change in hemoglobin level was 2.0 g/dL (range 0-3.0 g/dL). The median hospital stay was 3.0 days (range 2-6 days). There were complications in 2 cases: bladder injury in one and postoperative ileus in the other. There were no conversions to laparotomy. Conclusions: Lateral approach technique to make a pneumoperitoneum and to perform adhesiolysis is effective in LAVH for women with anterior wall adherence after cesarean section.
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