JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 6 (November 2019)
Japanese

The risk factor of colpoperineal laceration following transvaginal specimen extraction during total laparoscopic hysterectomy Tomoko HAGIWARA 1 , Hiroyuki KOBORI 1 , Chisato NOJI 1 , Noriko YAMAMOTO 1 1Department of Gynecology, Medical Topia Souka Hopital Keyword: 経腟回収 , 腟壁・会陰裂傷 , 腹腔鏡下子宮全摘術 pp.468-472
Published Date 2019/11/15
DOI https://doi.org/10.11477/mf.4426200747
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 [Aim] To evaluate the contributory factors for colpoperineal laceration following transvaginal specimen extraction during total laparoscopic hysterectomy (TLH) for benign gynecological disease. [Patients and methods] We retrospectively analyzed 1138 cases of TLH between April 2014 and April 2019. The patients were divided into two groups according to the presentation of colpoperineal laceration. The patient characteristics and the surgical outcomes were compared between the groups. [Results] Colpoperineal laceration was detected in 51 patients (4%). There was statistical significance regarding vaginal parity, uterus weight, uterus dimensions (transverse axis) and administration of estriol vaginal suppository between these two groups. In vaginal nullipara group, only administration of estriol vaginal suppository was associated with decreased risk of colpoperineal laceration. [Conclusion] The current study suggests that it is important to select appropriate patients by considering uterine size and vaginal parity. Improvement of vaginal atrophy using estriol vaginal suppository is also effective to reduce the risk of colpoperineal laceration following transvaginal specimen extraction during TLH.


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基本情報

13446703.24.6.jpg
日本内視鏡外科学会雑誌
24巻6号 (2019年11月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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