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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.11
- 수록면
- 542 - 551 (10page)
- DOI
- https://doi.org/10.5468/ogs.22094
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초록· 키워드
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ObjectiveTo evaluate the feasibility, safety, and surgical outcomes of laparoscopic trachelectomy after supracervical hysterectomy.
MethodsThis multicenter study was conducted at Tanta University, Benha University, and Aminah Laparoscopy Center (Benha,Egypt) from June 1, 2018 to October 31, 2021. Forty patients were recruited for this study and counseled on laparoscopictrachelectomy to treat their symptoms after supracervical hysterectomy. Furthermore, cervical biopsy was performedto detect and exclude any malignancy. Histopathological examination of cervical specimens was performedafter surgery. Operative details and outcomes were recorded.
ResultsThe median age of the patients was 42 years (range, 38-47). The median body mass index was 25 years (range, 22-28). The median interval between hysterectomy and the clinical presentation was 4.40 years (range, 3.58-5.25). Mostpatients presented with abnormal vaginal discharge (40%) and bleeding (25%). Moreover, a cervical biopsy result revealedstump carcinoma in three cases (7.5%) that were excluded. The median operative time was 210 minutes (range,170-220). The median blood loss was 270 mL (range, 220-320). Additionally, histopathological examinations revealedthat chronic non-specific cervicitis was present in 54.05% of trachelectomy specimens. There were no significant differencesbetween symptomatic and asymptomatic patients regarding operative outcomes, except adhesions, whichwere more significantly increased in symptomatic patients (P=0.015). Minimal complications, both operative and postoperative,were related to the procedure.
ConclusionAlthough the operative time was long and adhesions were common during laparoscopic trachelectomy, the procedurewas feasible and safe, with minimal complications.
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