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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Evaluation of complications of abdominal and vaginal hysterectomy
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Evaluation of complications of abdominal and vaginal hysterectomy

机译:评估腹部和阴道子宫切除术的并发症

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Background: Hysterectomy is one of the most common surgical procedures performed by the gynaecologist. It can be performed by vaginal and abdominal route. Gynaecologic surgeons worldwide continue to use the abdominal approach for a large majority of hysterectomies that could be performed vaginally despite well-documented evidence that vaginal hysterectomy has better outcome. Aim of our study is to compare vaginal route versus abdominal route of hysterectomy in terms of intra operative and post operative complications. Methods: A retrospective study was done in 229 women who had undergone hysterectomy (176 abdominal hysterectomies and 53 vaginal hysterectomies) from January 2010 to July 2012. Information on the indications, operative procedures, and complications were extracted and analysed. Results: The mean duration of surgery in VH group was 79.6 min and that of TAH group was 99.2 min. The mean blood loss was also more in case of TAH group than that of VH group (215ml vs. 167ml). Bladder injury occurred in 1 case in VH (1.9%) and in 4 cases in TAH (2.3%). Ureter injury occurred in 1(0.6%) case in TAH group. Wound infection developed in 10 cases of TAH group whereas only one case in VH group developed vault infection. Conclusions: Vaginal hysterectomy is associated with quicker recovery, early mobilization, shorter hospitalization, less operative and post operative morbidity when compared to abdominal hysterectomy.
机译:背景:子宫切除术是妇科医生执行的最常见的外科手术之一。它可以通过阴道和腹部途径进行。尽管有充分的证据表明阴道子宫切除术具有更好的结果,但世界范围内的妇科外科医生仍继续使用腹部手术进行大部分子宫切除术。我们研究的目的是就术中和术后并发症比较子宫切除术的阴道途径与腹部途径。方法:回顾性研究从2010年1月至2012年7月对229例行子宫切除术的妇女(176例腹部子宫切除术和53例阴道子宫切除术)进行了回顾性研究,并收集了有关适应症,​​手术步骤和并发症的信息。结果:VH组平均手术时间为79.6分钟,TAH组平均手术时间为99.2分钟。 TAH组的平均失血量也比VH组的平均失血量多(215ml对167ml)。 VH 1例(1.9%)发生膀胱损伤,TAH 4例(2.3%)发生膀胱损伤。 TAH组发生输尿管损伤1例,占0.6%。 TAH组10例发生伤口感染,而VH组仅1例发生穹ault感染。结论:与腹部子宫切除术相比,阴道子宫切除术具有更快的恢复,早期动员,住院时间短,手术和术后发病率较低的相关性。

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