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
- 2016.1
- 수록면
- 39 - 44 (6page)
이용수
초록· 키워드
오류제보하기
ObjectiveThe term ‘total laparoscopic hysterectomy (TLH) with classical suture method’ refers to a surgical procedure performed using only sutures and ligations with intracorporeal or extracorporeal ties, without using any laser or electronic cauterization devices during laparoscopic surgery as in total abdominal hysterectomy. However, the method is not as widely used as electric coagulation equipment for TLH because further advances in technology and surgical technique are required and operative time can take longer. In the current study, we evaluated the benefits of the classical suture method for TLH.
MethodsThis study retrospectively reviewed patients who received TLH using the classical suture method from August 2005 to April 2014. The patients' baseline characteristics were analyzed, including age, parity, cause of operation, medical and surgical history. Surgical outcomes analyzed included the weight of the uterus, operative time, complications, changes in hemoglobin level, blood transfusion requirements, and postoperative hospital stay.
ResultsOf 746 patients who underwent TLH with the classical suture method, mean operation time was 96.9 minutes. Mean average decline in hemoglobin was 1.6 g/dL and transfusion rate was 6.2%. Urinary tract injuries were reported in 8 patients. Urinary tract injuries comprised 6 cases of bladder injury and 3 cases of ureter injury. There were no cases of vaginal stump infection, hematoma, bowel injury or abdominal wound complication. All cases involving complications occurred before 2010.
ConclusionThe classical suture method for TLH presents tolerable levels of complications and blood loss. Advanced surgical skill is expected to decrease operation time and complications.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Reich H / 1989 / Laparoscopic hysterectomy / J Gynecol Surg 5:213~216
Demco L / 1994 / Hysterectomy. Panel discussion at the 22nd annual meeting of the American Association of Gynecologic Laparoscopists (AAGL), San Francisco, November 12, 1993 / J Am Assoc Gynecol Laparosc 1:287~295
Elkington NM / 2006 / A review of total laparoscopic hysterectomy:role, techniques and complications / Curr Opin Obstet Gynecol 18:380~384
Elkington N / 2005 / Total laparoscopic hysterectomy : a tried and tested technique / J Minim Invasive Gynecol 12:267~274
Chapron C / 2002 / Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology : results of a meta-analysis / Hum Reprod 17:1334~1342
Demco L / 1994 / Hysterectomy. Panel discussion at the 22nd annual meeting of the American Association of Gynecologic Laparoscopists (AAGL), San Francisco, November 12, 1993 / J Am Assoc Gynecol Laparosc 1:287~295
Elkington NM / 2006 / A review of total laparoscopic hysterectomy:role, techniques and complications / Curr Opin Obstet Gynecol 18:380~384
Elkington N / 2005 / Total laparoscopic hysterectomy : a tried and tested technique / J Minim Invasive Gynecol 12:267~274
Chapron C / 2002 / Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology : results of a meta-analysis / Hum Reprod 17:1334~1342
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