Safety of laparoscopically assisted vaginal hysterectomy for women with anterior wall adherence after cesarean section.
10.5468/ogs.2015.58.6.501
- Author:
Jung Hwa KO
1
;
Joong Sub CHOI
;
Jaeman BAE
;
Won Moo LEE
;
A Ra KOH
;
Hyeyeon BOO
;
Eunhyun LEE
;
Jin Hwa HONG
Author Information
1. Department of Obstetrics and Gynecology, Kangwon National University School of Medicine, Chuncheon, Korea.
- Publication Type:Original Article
- Keywords:
Anterior wall adherence;
Cesarean section;
Hysterectomy;
Laparoscopy
- MeSH:
Body Mass Index;
Cesarean Section*;
Female;
Humans;
Hysterectomy;
Hysterectomy, Vaginal*;
Lacerations;
Laparoscopy;
Length of Stay;
Parity;
Pregnancy;
Retrospective Studies;
Urinary Bladder
- From:Obstetrics & Gynecology Science
2015;58(6):501-506
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the safety and surgical outcomes of laparoscopically assisted vaginal hysterectomy (LAVH) for women with anterior wall adherence after cesarean section. METHODS: We conducted a retrospective study of 328 women with prior cesarean section history who underwent LAVH from March 2003 to July 2013. The subjects were classified into two groups: group A, with anterior wall adherence (n=49); group B, without anterior wall adherence (n=279). We compared the demographic, clinical characteristics, and surgical outcomes of two groups. RESULTS: The median age and parity of the patients were 46 years (range, 34 to 70 years) and 2 (1 to 6). Patients with anterior wall adherence had longer operating times (175 vs. 130 minutes, P<0.05). There were no significant differences in age, parity, number of cesarean section, body mass index, specimen weight, postoperative change in hemoglobin concentration, or length of hospital stay between the two groups. There was one case from each group who sustained bladder laceration during the vaginal portion of the procedure, both repaired vaginally. There was no conversion to abdominal hysterectomy in either group. CONCLUSION: LAVH is effective and safe for women with anterior wall adherence after cesarean section.
