Experience with modified laparoscopic-assisted vaginal hysterectomy
نویسندگان
چکیده
Background: Laparoskopická hysterektomie je nedávno objevenou operaèní technikou, povaovanou za alternativní metodu k abdominální hysterektomii v léèbì benigních a maligních gynekologických onemocnìní. Ve své studii jsme hodnotili zkuenosti s modifikovanou laparoskopicky asistovanou vaginální hysterektomii z pohledu bezpeènosti, dostupnosti a úèinnosti tohoto pøístupu. Metody: Studie zahrnuje 23 konsekutivnì vybraných en s indikací k hysterektomii pro gynekologické onemocnìní. Retrospektivní studie byla provedena v Nemocnici v Kladnì. U vech léèených pacientek byla provedena laparoskopicky asistovaná vaginální hysterektomie jednoduchou modifikovanou metodou pouze s pouitím bipolární koagulace a standardní vaginální operaèní techniky. Hodnotili jsme výsledky v perioperaèním a postoperaèním období. Výsledky: Vech 23 operací bylo úspìnì dokonèeno. Prùmìrná délka operaèního výkonu byla 91 minut, prùmìrná hodnota krevní ztráty 200 ml. Hospitalizace trvala v prùmìru 6 dní. Nemìli jsme ádnou závanìjí komplikaci. Závìr: Modifikovaná laparoskopická hysterektomie se zdá být úspìnou procedurou, která pøináí zkrácený nemocnièní pobyt pøi vech výhodách endoskopické chirurgie a pøi provedení jednoduchou a nenákladnou operaèní technikou (lit. 12, tab. 3).
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تاریخ انتشار 1998