https://scholars.lib.ntu.edu.tw/handle/123456789/546083
標題: | Laparoscopically Assisted Vaginal Hysterectomy Following Previous Kidney Transplantation | 作者: | Chen S.-Y. Huang S.-C. BOR-CHING SHEU DAW-YUAN CHANG Chou L.-Y. Hsu W.-C. WEN-CHUN CHANG |
公開日期: | 2009 | 卷: | 48 | 期: | 3 | 起(迄)頁: | 249-253 | 來源出版物: | Taiwanese Journal of Obstetrics and Gynecology | 摘要: | Objective: With improvements in immunosuppression and surgical techniques, more women are undergoing kidney transplantation (KT) for management of end-stage renal disease. Location of the transplanted pelvic kidney and transplanted ureter must be taken into consideration when performing pelvic surgery. We demonstrate that laparoscopically assisted vaginal hysterectomy (LAVH) can be successfully performed in patients who had previously undergone KT. Materials and Methods: We prospectively enrolled four patients requiring operation for symptomatic adenomyosis after KT. LAVH was performed in these cases after initial uterine artery ligation during laparoscopy. Results: The median age of the patients was 44 years (range, 40-46 years) and the extirpated uterine weight was 195 g (range, 160-380 g). Intraoperatively, the median operation time was 147.5 minutes (range, 105-175 minutes) and the blood loss was 50 mL (range, 50-100 mL). There was mild pelvic adhesion in two cases. The postoperative recovery was good in all patients with oral intake, flatus passage, and ambulation within 1 day after operation. The median intramuscular meperidine requirements were 25 mg (range, 0-100 mg) and the hospital stay was 4 days (range, 3-8 days). There were no major complications in these cases except one with mild postoperative fever. Conclusion: LAVH may be a safe and effective treatment for treating patients with adenomyosis after KT. ? 2009 Taiwan Association of Obstetric & Gynecology. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-73449106145&doi=10.1016%2fS1028-4559%2809%2960298-9&partnerID=40&md5=9f1454a75bac4af577b74e024937c9e7 https://scholars.lib.ntu.edu.tw/handle/123456789/546083 |
ISSN: | 1028-4559 | DOI: | 10.1016/S1028-4559(09)60298-9 | SDG/關鍵字: | pethidine; adenomyosis; adult; article; bleeding; case report; female; fever; hospitalization; human; intraoperative period; kidney transplantation; laparoscopic surgery; operation duration; postoperative period; uterine tube ligation; uterus weight; vaginal hysterectomy; clinical trial; endometriosis; hysterectomy; laparoscopy; length of stay; ligation; methodology; middle aged; postoperative complication; prospective study; uterine artery; Adult; Endometriosis; Female; Humans; Hysterectomy; Kidney Transplantation; Laparoscopy; Length of Stay; Ligation; Middle Aged; Postoperative Complications; Prospective Studies; Uterine Artery |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。