Rational Type of Laparoscopic Hysterectomy and Safety in Anesthetic Profiles.
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Accession number;99A0225429
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| Title;Rational Type of Laparoscopic Hysterectomy and Safety in Anesthetic Profiles. |
| Author;
SONG J
(National Medical Center, Seoul, Kor)
KIM S H
(Korea Univ. Hospital, Seoul, Kor)
CHO S J
(National Medical Center, Seoul, Kor)
PARK C S
(National Medical Center, Seoul, Kor)
KU P S
(Korea Univ. Hospital, Seoul, Kor)
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Journal Title;J Obstet Gynaecol Res
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Journal Code:Y0696A
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ISSN:1341-8076
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VOL.25;NO.1;PAGE.55-61(1999)
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| Figure&Table&Reference;TBL.5, REF.36 |
| Pub. Country;Japan |
| Language;English |
| Abstract;Objective: To evaluate what type of surgery would be more reasonable among 3 types of laparoscopic hysterectomy and to evaluate the safety of cardio-pulmonary changes on these patients during these operations. Method: A retrospective study was carried out in 215 women who underwent laparoscopic hysterectomy including laparoscopic-assisted vaginal hysterectomy (LAVH), laparoscopic hysterectomy (LH), total laparoscopic hysterectomy (TLH). Blood gas analysis, endtidal CO2 levels and vital signs were checked and compared with control and preceding values. Results: The average duration of operation was 102.5 min, 83.8 min and 118.3 min for LAVH (n=97), LH (n=75) and TLH (n=43), respectively (p<0.05). The average amount of bleeding was 297.5 ml,152.3 ml and 149.2 ml for each type of hysterectomy, respectively. Hemoglobin decreased by an average of 1.6 g/100 ml, 0.9 g/100 ml and 0.8 g/100 ml, respectively. There was a lesser amount of bleeding for LH and TLH than for LAVH (p<0.05). Profiles of blood gas analysis and expiratory CO2 varied significantly according to the operative stages under controlled anesthesia (p<0.05), but were within the normal range. Conclusion: These results demonstrate that laparoscopic procedures advancing below the uterine vasculature can be considered effective for hysterctomies and that proper anesthesia can safely control the cardio pulmonary changes during laparoscopic hysterectomy. (author abst.) |
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