The Journal of the American Association of Gynecologic Laparoscopists · 2002
Evaluation of adhesion formation after laparoscopic myomectomy by systematic second-look microlaparoscopy.
Клиническое исследованиеСравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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.
Takeuchi Hiroyuki, Kinoshita Katsuyuki
Аннотация
STUDY OBJECTIVE: To evaluate adhesion formation after laparoscopic myomectomy by second-look laparoscopy using a microlaparoscope.
DESIGN: Prospective, nonrandomized study. (Canadian Task Force classification II-1).
SETTING: University hospital.
PATIENTS: One hundred fifteen women who underwent laparoscopic myomectomy and 51 who underwent second-look minilaparoscopy.
INTERVENTION: Laparoscopic myomectomy, in which fibrin glue spray was applied to prevent postoperative adhesion formation, and second-look laparoscopy.
MEASUREMENTS AND MAIN RESULTS: The mean interval between surgeries was 5.1 +/- 3.0 months (range 2-18 mo). The mean size of enucleated myomas was 6.1 +/- 1.5 cm (range 3.0-10.5 cm), and mean number of myomas removed/patient was 3.0 +/- 2.2 (range 1-9 myomas). At assessment of 152 myomectomy sites, the rate of adhesions was 29.4%/patient and 11.2%/myomectomy site. Risk factors that influenced adhesion formation were posterior location and intramural myoma. In most cases the organ adhered to the myomectomy site was sigmoid colon. The frequency of adnexal adhesions was 17.6%/patient and 9.8%/site.
CONCLUSION: The rate of adhesion formation after laparoscopic myomectomy was low, and routine second-look microlaparoscopy was useful to evaluate the efficacy of the first surgery.
DESIGN: Prospective, nonrandomized study. (Canadian Task Force classification II-1).
SETTING: University hospital.
PATIENTS: One hundred fifteen women who underwent laparoscopic myomectomy and 51 who underwent second-look minilaparoscopy.
INTERVENTION: Laparoscopic myomectomy, in which fibrin glue spray was applied to prevent postoperative adhesion formation, and second-look laparoscopy.
MEASUREMENTS AND MAIN RESULTS: The mean interval between surgeries was 5.1 +/- 3.0 months (range 2-18 mo). The mean size of enucleated myomas was 6.1 +/- 1.5 cm (range 3.0-10.5 cm), and mean number of myomas removed/patient was 3.0 +/- 2.2 (range 1-9 myomas). At assessment of 152 myomectomy sites, the rate of adhesions was 29.4%/patient and 11.2%/myomectomy site. Risk factors that influenced adhesion formation were posterior location and intramural myoma. In most cases the organ adhered to the myomectomy site was sigmoid colon. The frequency of adnexal adhesions was 17.6%/patient and 9.8%/site.
CONCLUSION: The rate of adhesion formation after laparoscopic myomectomy was low, and routine second-look microlaparoscopy was useful to evaluate the efficacy of the first surgery.