Chung-Chang Shen1, Hsien-Ming Lu, Shiuh-Young Chang. 1. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, No 123-6, Ta-Pei Road, Naio Sung Hsiang, Kaohsiung, Taiwan.
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.
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.