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Peeling conjunction laparoscopic uterine fibroids hysterectomy 54 cases of case analysis

Author: JiaLingLing
Tutor: DengYanJie
School: Dalian Medical University
Course: Obstetrics and Gynaecology
Keywords: Laparoscopy Peeling device Hysterectomy
CLC: R737.33
Type: Master's thesis
Year: 2011
Downloads: 7
Quote: 0
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Abstract


Objective: To investigate peeling conjunction laparoscopic hysterectomy safety and feasibility. Methods: Collect Dalian Maternity Hospital from January 2009 to August 2010 in the same treatment group underwent laparoscopic hysterectomy (including double oophorectomy) in patients with 258 cases. Screened out based on analysis conditions due to uterine fibroids laparoscopic hysterectomy clinical data of 120 patients, divided into peeling conjunction laparoscopic hysterectomy group and the laparoscopic hysterectomy group. Each group of 54 cases and 66 cases. Meanwhile randomly selected during the same period due to uterine fibroids underwent open hysterectomy in 60 patients. The average age of patients, respectively, the average size of the uterus, the average operation time, average blood loss, the average postoperative uterine weight, the average maximum temperature value after 72 hours, the average postoperative 72 hours WBC values, the average pelvic drainage, average time use of antibiotics, the average postoperative hospital stay and other data were analyzed retrospectively. Results: 120 patients were successfully completed in laparoscopic, no patients laparotomy. Comparison of results of surgery: laparoscopic group, in conjunction peeling surgery significantly larger than the average size of the uterus pure laparoscopic group, peeling conjunction laparoscopic surgery group mean operative time was longer than the pure laparoscopy group and laparotomy group, peeling device with the laparoscopic group, the average blood loss was less than the laparotomy group, and both P lt; 0.05, a statistically significant difference; average age of the three groups showed no statistical significance. Peeling conjunction laparoscopic group, the average size of the uterus and laparotomy group was not statistically significant. Peeling conjunction laparoscopic group, the average blood loss compared with pure laparoscopic group was not statistically significant; Comparison of postoperative results: Rotary conjunction uterus after laparoscopic group weighed heavier than pure laparoscopic group, peeling conjunction laparoscopic group after the number of days of antibiotic use than the laparotomy group, peeling conjunction laparoscopic surgery hospital stay than the laparotomy group, and both P lt; 0.05, with statistical significance; peeling conjunction abdominal Lens uterus weighing weight compared with the laparotomy group was not statistically significant. Maximum temperature after 72 hours and after 72 hours WBC values ??and postoperative pelvic drainage, three groups were not statistically significant. Peeling laparoscopic group in conjunction with the time and the number of antibiotics alone laparoscopic group was not statistically significant. Peeling conjunction laparoscopic group postoperative hospital stay compared with pure laparoscopic group was not statistically significant. Routine postoperative month, three-month follow-up. Follow-up after one month, three groups of patients the original symptoms were improved. Follow-up after three months, peeling vaginal cuff conjunction laparoscopic group polypoid hyperplasia one case, a simple laparoscopic vaginal cuff polypoid hyperplasia in 1 case. After a half months after disposal outpatient referral were cured. Laparotomy group vaginal cuff delayed healing one case, consider anemia patients, after 4 months of referral, vaginal stump healed well. Three phase difference was not statistically significant. Line examination and pelvic ultrasound B compared to the situation was no significant difference. Conclusions: Laparoscopic conjunction peeling hysterectomy is safe and reliable, does not affect postoperative recovery. Peeling conjunction laparoscopic hysterectomy laparoscopic extended hysterectomy scope, with the clinical feasibility of practical application, so that more patients can get huge fibroid laparoscopic surgery treatment.

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CLC: > Medicine, health > Oncology > Genitourinary tumors > Female genital tumors > Uterine tumors
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