Small Intestine Injury in Laparoscopic-Assisted Vaginal Hysterectomy

Chung-Chang Shen, Shen CC, Ming-Ping Wu, Wu MP, Ming‐Ping Wu, Cheng-Hsien Lu, Cheng‐Hsien Lu, Lu CH, Yu‐Chiang Hung, Hung YC, Yu-Chiang Hung, Hao Lin, Huang EY, Eng-Yen Huang, Eng‐Yen Huang, Huang FJ, Fu-Jen Huang, Te‐Yao Hsu, Hsu TY, Te-Yao Hsu, Shiuh‐Young Chang, Shiuh-Young Chang, Chang SY
The Journal of the American Association of Gynecologic Laparoscopists · 2003 · vol. 10(3) , pp. 350–355 · doi:10.1016/s1074-3804(05)60260-5 · PMID:14567810 · W2137293658
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This paper investigates the incidence and characteristics of small intestine injury during laparoscopic-assisted vaginal hysterectomy procedures.

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Abstract

Study objectiveTo review laparoscopic-assisted vaginal hysterectomy (LAVH) cases for instances of small intestine injury.DesignRetrospective review (Canadian Task Force Classification II-2).SettingTertiary care university hospital.PatientsTwo thousand six hundred eighty-two women.InterventionLAVH.Measurements and main resultsIndications for hysterectomy were myomata uteri, adenomyosis, intractable menorrhagia, endometriosis, severe pelvic adhesions, cervical intraepithelial neoplasia, endometrial polyps, and hyperplasia. Small bowel injuries occurred in five women (1.9/1000), one (20%) of which was recognized postoperatively. Thermal injuries occurred in two patients, trocar injuries in two, and a dissection wound in one. Two-layer closure was performed for three patients, and partial resection with reanastomosis for two. All patients were discharged without sequelae.ConclusionSmall bowel injury during LAVH is not common. It may have unusual characteristics and devastating consequences if not recognized and treated promptly.

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Condition tags

endometriosis

MeSH descriptors

Hysterectomy, Vaginal Intestine, Small Intraoperative Complications Laparoscopy Postoperative Complications Adult Endometrial Neoplasms Endometrial Neoplasms Endometriosis Endometriosis Female Humans Hysterectomy, Vaginal Hysterectomy, Vaginal Intestine, Small Intraoperative Complications Middle Aged Postoperative Complications Retrospective Studies Tissue Adhesions

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