Characteristics and management of large bowel injury in laparoscopic-assisted vaginal hysterectomy

Chung-Chang Shen, Shen CC, Lu HM, Hsien-Ming Lu, Chang SY, Shiuh-Young Chang, Shiuh‐Young Chang
The Journal of the American Association of Gynecologic Laparoscopists · 2002 · vol. 9(1) , pp. 35–39 · doi:10.1016/s1074-3804(05)60102-8 · PMID:11821604 · W2094652208
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This paper examines the characteristics and management strategies for large bowel injuries occurring during laparoscopic-assisted vaginal hysterectomy procedures.

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Abstract

STUDY OBJECTIVE: To review laparoscopic-assisted vaginal hysterectomies (LAVH) for large bowel injuries. DESIGN: Retrospective review (Canadian Task Force classification II-2). SETTING: University-affiliated hospital. PATIENTS: Two thousand eighty-four women. INTERVENTION: LAVH. MEASUREMENTS AND MAIN RESULTS: Indications for hysterectomy were myomata uteri, adenomyosis, intractable menorrhagia, endometriosis, severe pelvic adhesions, cervical intraepithelial neoplasia, endometrial polyps, and hyperplasia. Large bowel injuries occurred in six women (2.9/1000), only one of which was recognized postoperatively. Colostomy was performed in four patients, simple repair in one, and laparoscopic repair in one. All these patients were discharged without sequelae. CONCLUSION: In our experience, bowel injury during LAVH was not a common event.

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MeSH descriptors

Hysterectomy, Vaginal Intestinal Perforation Intestine, Large Intraoperative Complications Intraoperative Complications Intraoperative Complications Laparoscopy Laparoscopy Adult Adult Female Female Humans Humans Hysterectomy, Vaginal Hysterectomy, Vaginal Intestinal Perforation Intestinal Perforation Intestine, Large Intestine, Large

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