Bladder Injury During Anterior Vaginal Repair or Vaginal Hysterectomy

2016 ◽  
pp. 338-340
Author(s):  
Pallavi Latthe ◽  
Suneetha Rachaneni ◽  
Mohammed Belal
Keyword(s):  
Vaginal Hysterectomy ◽  
Bladder Injury ◽  
Vaginal Repair ◽  
Anterior Vaginal Repair

scholarly journals Single-Port Access Laparoscopy-Assisted Vaginal Hysterectomy: Our Initial Experiences with 100 Cases

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Young-Sam Choi ◽  
Kwang-Sik Shin ◽  
Jin Choi ◽  
Ji-No Park ◽  
Yun-Sang Oh ◽  
...  
Keyword(s):  
Vaginal Hysterectomy ◽  
Single Port ◽  
Bladder Injury ◽  
Safe Procedure ◽  
Single Port Access ◽  
Laparoscopically Assisted Vaginal Hysterectomy ◽  
Single Port Surgery ◽  
Port Access ◽  
Pelvic Hematoma ◽  
Port System

Objectives.To present our initial experiences with laparoscopically assisted vaginal hysterectomy performed using homemade transumbilical single-port system.Materials and Methods.We reviewed the medical records of one hundred patients who underwent single-port access laparoscopically assisted vaginal hysterectomy (SPA-LAVH). SPA-LAVH was performed with homemade single port system and conventional rigid laparoscopic instruments.Results.All procedures were successfully completed through the single-port system and vagina without need for extraumbilical puncture or conversion to laparotomy. The median patient age was 48.2 ± 6.5 years. Thirty-three patients had history of past abdominopelvic surgery. The median total operative time, largest dimension of the uterus, and weight of the uterus were 73.1 ± 24.6 min, 10.5 ± 2.1 cm, and 300.8 ± 192.5 gram, respectively. The median decline in the hemoglobin from before surgery to postoperative day 1 was 1.8 ± 0.9 g/dL. Bladder injury in occurred one patient who was repaired through intraoperative laparoscopic suture. The postoperative course was uneventful in most patients except for three who had a transient paralytic ileus, five who had pelvic hematoma, but they were recovered following conservative managements. No port-related complications were noted, and the cosmetic results were excellent.Conclusions.SPA-LAVH is technically safe procedure, and the homemade single-port system offers reliable access for single-port surgery.

The Clinical and Urodynamic Effects of Anterior Vaginal Repair and Burch Colposuspension

1989 ◽  
Vol 141 (6) ◽  
pp. 1512-1512
Author(s):  
J.M. van Geelen ◽  
A.G.M. Theeuwes ◽  
T.K.A.B. Eskes ◽  
C.B. Martin
Keyword(s):  
Burch Colposuspension ◽  
Vaginal Repair ◽  
Anterior Vaginal Repair

Minimizing bladder injury in laparoscopically assisted vaginal hysterectomy among women with previous cesarean sections

2007 ◽  
Vol 22 (1) ◽  
pp. 171-176 ◽  
Author(s):  
W. -C. Chang ◽  
W.-C. Hsu ◽  
B.-C. Sheu ◽  
S.-C. Huang ◽  
P.-L. Torng ◽  
...  
Keyword(s):  
Vaginal Hysterectomy ◽  
Bladder Injury ◽  
Cesarean Sections ◽  
Laparoscopically Assisted Vaginal Hysterectomy ◽  
Previous Cesarean

The clinical and urodynamic effects of anterior vaginal repair and Burch colposuspension

1988 ◽  
Vol 159 (1) ◽  
pp. 137-144 ◽  
Author(s):  
J.M. van Geelen ◽  
A.G.M. Theeuwes ◽  
T.K.A.B. Eskes ◽  
Chester B. Martin
Keyword(s):  
Burch Colposuspension ◽  
Vaginal Repair ◽  
Anterior Vaginal Repair

scholarly journals Non-descended Vaginal Hysterectomy—Is a Reasonable Alternative to LAVH?

2009 ◽  
Vol 1 (1) ◽  
pp. 47-52
Author(s):  
Nurun Nahar Khanam ◽  
Bidisha Chakma ◽  
Saleha Begum Chowdhury ◽  
Khairun Nahar ◽  
Nusrat Rahman ◽  
...  
Keyword(s):  
Developing Country ◽  
Vaginal Hysterectomy ◽  
Operating Time ◽  
Operation Time ◽  
Good Alternative ◽  
Bladder Injury ◽  
Laparoscopic Technique ◽  
Exact Probability ◽  
Socioeconomic Condition ◽  
Laparoscopic Assisted Vaginal Hysterectomy

Abstract This randomized case control clinical trial has been designed to assess whether non-descended vaginal hysterectomy (NDVH) can be performed as an alternative to laparoscopic assisted vaginal hysterectomy (LAVH). The study was conducted in the Department of Gynaecology and Obstetrics, Bangabandhu Sheikh Mujib Medical University (BSMMU) Hospital, Dhaka over a period of one year. Patients admitted for hysterectomy were the study population. DUB, fibroid uterus < 12 weeks size and adenomyosis were inclusion criteria. A total of 30 patients were consecutively selected and then randomly assigned by lottery method for LAVH and NDVH. The test statistics used to analyze the data were descriptive statistics, Fisher's Exact Probability test and Mann Whitney Test. The mean age, socioeconomic condition, duration of marriage, parity, size of the uterus and indications of operation was similar in both groups. The patients of LAVH group have had significantly higher mean operation time (p < 0.001). One patient of LAVH group has got bladder injury and the operation had to be switched over to abdominal hysterectomy. The LAVH group exhibited significantly less hemoglobin level on 3rd postoperative day (p < 0.001). However, the total amount of analgesics needed was much higher in the NDVH group (p < 0.005) and the total cost of operation was significantly higher in the LAVH group (p < 0.001). No difference was observed in terms of day of discharge and day of disappearance of pain. Laparoscopically assisted technique in the filed of gynecology of the developing country is newer one. Training on the laparoscopic technique and concomitant reduction of anesthesia and surgeon charges is very much necessary to make the technique popular. Considering the operating time and expenditure the non-descended method might be a very good alternative to laparoscopic one especially in the developing country.

scholarly journals Non-Descent Vaginal Hysterectomy - Analysis of 100 Cases

2013 ◽  
Vol 3 (1) ◽  
pp. 1-5
Author(s):  
Soma Bandyopadhyay ◽  
Manidip Pal
Keyword(s):  
Vaginal Hysterectomy ◽  
Operating Time ◽  
Pelvic Surgery ◽  
Bladder Injury ◽  
Medical Sciences ◽  
Wide Range ◽  
Abdominal Route ◽  
History Of ◽  
Large Uterus ◽  
And Training

OBJECTIVE: To evaluate the feasibility of performing vaginal hysterectomy for non-prolapsed uteri as primary route METHODS: 100 patients planned for hysterectomy for a wide range of  indications like large uterus, cervix flushed with vagina, previous pelvic surgery were chosen for vaginal hysterectomy. Prerequisite were uterine size not more than 16 weeks, adequate vaginal access and good uterine mobility. Patients with utero-vaginal prolapse, complex adnexal mass and suspected malignancy were excluded. RESULTS: Majority were aged 35 – 45 years (77%) with 8 nullipara and 21 primipara. Commonest indication was fibroid (54%) and largest uterine size was 16 weeks. There were 79 patients with history of different pelvic surgeries. Different morcellation techniques were used in more than 10 weeks sized uteri. Adnexal surgeries were performed in 12 cases without difficulty. In uncomplicated cases average blood loss was 200 ml and operating time was 50 minutes. Most of the patients were discharged by 5th post operative day. Two patients were converted to abdominal route due to bladder injury and slippage of upper pedicle respectively. CONCLUSION: Experience and training can lead gynecologist to consider the vaginal approach as the standard route for hysterectomy.DOI: http://dx.doi.org/10.3126/ajms.v3i1.4471Asian Journal of Medical Sciences 3(2012) 1-5

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