Journal of minimally invasive gynecology · 2017
Laparoscopic Single-Incision Supracervical Hysterectomy for an Extremely Large Uterus with Bag Tissue Extraction.
Клинический случайСтатьяVideo-Audio MediaНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Guan Xiaoming, Liu Juan, Wang Yanzhou, Gisseman Jordan, Guan Zhenkun, Kleithermes Christopher
Аннотация
OBJECTIVE: To describe and demonstrate the single-incision laparoscopic technique with an articulated energy device for a uterus larger than 20 cm.
DESIGN: Stepwise demonstration of the single-site surgical technique and tissue extraction with narrated video footage (Canadian Task Force classification III).
SETTING: Single-incision laparoscopic hysterectomy can be difficult because of the long operating time, steep learning curve, and need for articulated instruments, and it is especially challenging in patients with a uterus larger than 20 cm. However, the advantages of single-site laparoscopic surgery may include less bleeding, infection, and pain and a better cosmetic outcome.
INTERVENTIONS: A 49-year-old G3P3 female with a 24 weeks-sized fibroid uterus requesting supracervical hysterectomy presented to our tertiary academic medical center with a 2-year history of pelvic pain and menorrhagia with a normal Pap smear history. Uterine weight was 1900 g. Laparoscopic single-incision supracervical hysterectomy with contained bag tissue extraction was performed. Rotating between the patient's right and left side allowed the surgeon to access the entire abdomen from a single umbilical port. There was no complications or conversions to multiport in the surgery.
CONCLUSION: Single-incision laparoscopic hysterectomy for a uterus larger than 20 cm is possible and leads to better outcomes.
DESIGN: Stepwise demonstration of the single-site surgical technique and tissue extraction with narrated video footage (Canadian Task Force classification III).
SETTING: Single-incision laparoscopic hysterectomy can be difficult because of the long operating time, steep learning curve, and need for articulated instruments, and it is especially challenging in patients with a uterus larger than 20 cm. However, the advantages of single-site laparoscopic surgery may include less bleeding, infection, and pain and a better cosmetic outcome.
INTERVENTIONS: A 49-year-old G3P3 female with a 24 weeks-sized fibroid uterus requesting supracervical hysterectomy presented to our tertiary academic medical center with a 2-year history of pelvic pain and menorrhagia with a normal Pap smear history. Uterine weight was 1900 g. Laparoscopic single-incision supracervical hysterectomy with contained bag tissue extraction was performed. Rotating between the patient's right and left side allowed the surgeon to access the entire abdomen from a single umbilical port. There was no complications or conversions to multiport in the surgery.
CONCLUSION: Single-incision laparoscopic hysterectomy for a uterus larger than 20 cm is possible and leads to better outcomes.