Objective. To investigate retrospectively the complications and associated factors of gynecological laparoscopies. Methods. 1 769 laparoscopic surgeries were carried out from January 1994 to October 1999 at our depart...Objective. To investigate retrospectively the complications and associated factors of gynecological laparoscopies. Methods. 1 769 laparoscopic surgeries were carried out from January 1994 to October 1999 at our department. The procedures included 1421 surgeries of ovary and tube, 52 myomectomies and 296 cases of laproscopic-assisted vaginal hysterectomy (LAVH). A total of 312 patients had a history of prior laparotomy (176%). Results. Complications occured in 34 cases, the overall complication rate was 192%. Unintended laparotomies occured in 6 cases(034%). 12 complications were associated with insertion of Veress needle or trocar and creation of pneumoperitoneum, including 5 severe emphysema and 7 vascular injuries, this figure represents 353% of all complications of this series. Five intraoperative complications (147%) occured during the laparoscopic surgery (3 severe bleedings, one bladder injury and one skin burn of leg caused by damaged electrode plate), laparotomy was required in four of these cases. Seventeen complications occured during postoperative stage: 2 intraperitoneal hemorrhages needing laparotomy, 2 bowel injuries, 4 nerve paresis and 9 febrile morbidities. Conlusions. Operative gynecologic laparoscopy is associated with acceptable morbidity rate, but can not be overlooked. Complication rate seems to be higher in advanced procedures such as LAVH.展开更多
Objective:To review the clinical characteristics of struma ovarii. Methods:Fifty-three cases of struma ovarii treated in this hospital from January 1988 to January 2008 were analyzed retrospectively,and related litera...Objective:To review the clinical characteristics of struma ovarii. Methods:Fifty-three cases of struma ovarii treated in this hospital from January 1988 to January 2008 were analyzed retrospectively,and related literatures were reviewed. Results:Struma ovarii accounted for 1.5%of ovarian teratomas diagnosed at the studied period.The mean age of onset was 39.5 years.All cases were unilateral,occurring equally in either side,with a normal contralateral ovary. Elevated serum levels of CA125(50-2265.7 U/ml) were observed in all 5 patients with ascites.There were no characteristic imaging findings and the confirmed diagnosis was dependent on histology.The management for all patients was surgery.No reoccurrence was found within mean follow-up of 58 months after operation. Conclusion:Struma ovarii is rare and occurs more often in late reproductive age,with a good prognosis.It is difficult to be diagnosed before surgery,and should be distinguished from malignant ovarian tumor.Laparoscopy is the best choice of treatment.展开更多
Objective.To analyse the efficiency of two operations for treatment of unirary stress incontinence (USI). Methods. The clinical data of 95 USI cases or accompany USI treated by surgical procedures (Kelly operation 63 ...Objective.To analyse the efficiency of two operations for treatment of unirary stress incontinence (USI). Methods. The clinical data of 95 USI cases or accompany USI treated by surgical procedures (Kelly operation 63 cases, Colposuspension 32 cases) was analysed retrospectively in our department. Results.The cure rates during three months after operation were 92.9% in Colposuspension group and 68.9% in Kelly operation group (P<0.05), and decreased to 73.7% and 57.5% one year after operation in Colposuspension group and Kelly operation group respectively (P>0.05). Abnormal senses rates of sexual intercouse was 3.7% in Cloposuspension and 7.3% in Kelly operation group. The length of retaining Folly catheter after Colposuspension was more than Kelly operation. [WT5”BX]Conclusion.[WT5”BZ]The cure rate during three months after Colposuspension is better than Kelly operation. But the cure rates during one year after surgery are the same in two groups.展开更多
文摘Objective. To investigate retrospectively the complications and associated factors of gynecological laparoscopies. Methods. 1 769 laparoscopic surgeries were carried out from January 1994 to October 1999 at our department. The procedures included 1421 surgeries of ovary and tube, 52 myomectomies and 296 cases of laproscopic-assisted vaginal hysterectomy (LAVH). A total of 312 patients had a history of prior laparotomy (176%). Results. Complications occured in 34 cases, the overall complication rate was 192%. Unintended laparotomies occured in 6 cases(034%). 12 complications were associated with insertion of Veress needle or trocar and creation of pneumoperitoneum, including 5 severe emphysema and 7 vascular injuries, this figure represents 353% of all complications of this series. Five intraoperative complications (147%) occured during the laparoscopic surgery (3 severe bleedings, one bladder injury and one skin burn of leg caused by damaged electrode plate), laparotomy was required in four of these cases. Seventeen complications occured during postoperative stage: 2 intraperitoneal hemorrhages needing laparotomy, 2 bowel injuries, 4 nerve paresis and 9 febrile morbidities. Conlusions. Operative gynecologic laparoscopy is associated with acceptable morbidity rate, but can not be overlooked. Complication rate seems to be higher in advanced procedures such as LAVH.
文摘Objective:To review the clinical characteristics of struma ovarii. Methods:Fifty-three cases of struma ovarii treated in this hospital from January 1988 to January 2008 were analyzed retrospectively,and related literatures were reviewed. Results:Struma ovarii accounted for 1.5%of ovarian teratomas diagnosed at the studied period.The mean age of onset was 39.5 years.All cases were unilateral,occurring equally in either side,with a normal contralateral ovary. Elevated serum levels of CA125(50-2265.7 U/ml) were observed in all 5 patients with ascites.There were no characteristic imaging findings and the confirmed diagnosis was dependent on histology.The management for all patients was surgery.No reoccurrence was found within mean follow-up of 58 months after operation. Conclusion:Struma ovarii is rare and occurs more often in late reproductive age,with a good prognosis.It is difficult to be diagnosed before surgery,and should be distinguished from malignant ovarian tumor.Laparoscopy is the best choice of treatment.
文摘Objective.To analyse the efficiency of two operations for treatment of unirary stress incontinence (USI). Methods. The clinical data of 95 USI cases or accompany USI treated by surgical procedures (Kelly operation 63 cases, Colposuspension 32 cases) was analysed retrospectively in our department. Results.The cure rates during three months after operation were 92.9% in Colposuspension group and 68.9% in Kelly operation group (P<0.05), and decreased to 73.7% and 57.5% one year after operation in Colposuspension group and Kelly operation group respectively (P>0.05). Abnormal senses rates of sexual intercouse was 3.7% in Cloposuspension and 7.3% in Kelly operation group. The length of retaining Folly catheter after Colposuspension was more than Kelly operation. [WT5”BX]Conclusion.[WT5”BZ]The cure rate during three months after Colposuspension is better than Kelly operation. But the cure rates during one year after surgery are the same in two groups.
