Dergiler / GORM:Gynecology Obstetrics & Reproductive Medicine / 2001 / Cilt: 7 - Sayı: 2
Experience with laparoscopically assisted vaginal hysterectomy
- Sayfa
- 143–145
- DOI
- —
Özet
Amaç: Bu makalede, benign endikasyonlar nedeni ile laparoskopi asiste vajinal histerektomi yapılan 27 vakanın sunumu yapılmıştır. Gereç ve Yöntem: Laparoskopi asiste vajinal histerektomi yapılan 27 hastanın kayıtları incelenmiştir. Hastalar ortalama yaş, parite, "body mass" indeks, operasyon süresi, hastane kalış süresi ve komplikasyonlar yönünden değerlendirilmiştir. Sonuçlar: Hastaların 10'u myoma uteri, 4'ü vajinal kanama, 5'i kronik pelvik ağrı, 2'si servikal displazi ve 2'si endometriosis nedeniyle operasyona alındı. Bütün hastalar klasik vajinal histerektomi için kontraendikasyon oluşturmaktaydı. Ortalama hasta yaşı 47.4 ve ortalam a "body mass" indeks 26.5±4.5 olarak hesaplandı. Ortalama operasyon süresi 91.4±26.7 dakika, intraoperative kan kaybı 256.6±88.9 cc ve hastanede kalış süresi 3.7±1.6 olarak değerlendirildi. Hiçbir hastada intraoperatif veya postoperatif komplikasyon ile karşılaşılmadı. Yorum: Laparoskopi asiste vajinal histerektomi, özellikle vajinal yaklaşımın kontraendike olduğu durumlarda güvenle uygulanabilir
Abstract
OBJECTIVE: We aimed to evaluate usefulness, safety and complications of laparoscopically assisted vaginal hysterectomy in a retrospective trial in 27 patients. STUDY DESIGN: Hospital record charts of 27 patients who underwent laparoscopically assisted vaginal hysterectomy for various benign gynecologic pathologies were evaluated in a retrospective fashion. The mean age, parity and body mass index of the patients were recorded. For each patient total time spent in the operating room, hospital stay, intraoperative and postoperative complications were noted. RESULTS: The mean age of patients was 47,4 years (range 39-54). The indications for hysterectomy were; uterine myomas with enlarged uterus in 10 patients, uterine myomas with intractable vaginal bleeding in 4 patients, simple endometrial hyperplasia without atypia in 4 patients, chronic pelvic pain resistant to medical treatment in 5 patients, cervical dysplasia in 2 patients, moderate endometriosis in 2 patients. The mean operation time was 91.4 ± 26.7 minutes, the mean intraoperative blood loss was 256.6±88.9 cc. and the mean postoperative hospital stay was 3.7±1.6 days. No major intra-operative and post-operative complications were recorded. CONCLUSION: In this report we presented our experience about complications and results of laparoscopically assisted vaginal hysterectomy. Laparoscopically assisted vaginal hysterectomy can be effectively performed especially for patients in which vaginal approach is strictly contraindicated.