子宮動脈脈結紮を行なう腹腔鏡下筋腫核出術
スポンサーリンク
概要
- 論文の詳細を見る
Objective: To assess the usefulness of laparoscopic uterine artery ligation (LUAL) for laparoscopic myomectomy. Materials and Methods: Twenty-six patients with intramural and subserosal myomas underwent the LUAL procedure in cases of laparoscopic myomectomy. After the identification of the course of uterine arteries, and the size and location of uterine myomas by using ultrasonography, MRI, CT, and/or 3D-CT, the unilateral or bilateral uterine arteries were ligated laparoscopically before the myomectomy. The decision whether the unilateral or bilateral uterine arteries were ligated was made based on the following factors: the main feeding artery of the dominant nodule being evident or not, the number and location of nodules, patients age as well as the patients wish to preserve fertility, and so on.Results: The unilateral and/or bilateral LUAL procedures were successfully performed on all patients. One conversion to a laparotomy occurred because of a technical difficulty in enucleating a large cervical nodule. The remaining 25 patients were completed a laparoscopic myomectomy after the LUAL procedure. The estimated blood loss was less than 30ml in 22 patients, and the others were 150ml, 200ml, and 300ml in the completed cases, respectively. Two women conceived spontaneously. One woman delivered a baby, and the other experienced a miscarriage. No intraoperative and postoperative complications were observed. Conclusion: The LUAL procedure, especially the unilateral procedure, prior to myomectomy is an effective and feasible way to reduce operative blood loss and thermal tissue damage by hemostasis procedure.
論文 | ランダム
- Phase Characteristics Effects of Simulated Earthquake Motion on Responses of Dynamic Soil-Structure Interaction System
- 20346 「日仏友好のモニュメント」に用いるシステムトラスの構造実験 : (その4)ブレース構面の2方向載荷試験
- OP4-3 単一施設における進行性神経芽腫の治療成績(ポスター 神経芽腫4,第21回日本小児がん学会 第47回日本小児血液学会 同時期開催)
- 脳腫瘍を合併した腎横紋筋肉腫様腫瘍の1例
- 20345 「日仏友好のモニュメント」に用いるシステムトラスの構造実験 : (その3)角材部材接合部の引張・圧縮試験