重症子宮内膜症に対する根治術後に発症した腟断端膿瘍の経験と今後の対策

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Because of the use of prophylactic antibiotics, a vaginal cuff infection after a total hysterectomy is relatively rare. We experienced a case of a vaginal cuff abscess that developed after laparoscopic surgery for severe endometriosis.<BR><B>Case:</B> A 48-year-old woman with history of a previous laparotomy underwent laparoscopic surgery for severe endometriosis because of failed medical therapy. On the first postoperative day, she developed a fever of over 38°C. Despite therapy with several antimicrobial agents, her fever persisted and the vagina cuff began draining. A computed tomography scan revealed an abscess at the site. Repeat surgery was performed nine days later; the procedure included exfoliation of inflammatory adhesions, drainage of the abscess, and lavage of the abdominal cavity. When a vaginal cuff infection occurs, early detection can be effective in its resolution.
日本産科婦人科内視鏡学会の論文