title: Characteristics and management of large bowel injury in laparoscopic-assisted vaginal hysterectomy.
abstract: OBJECTIVE
  To review laparoscopic-assisted vaginal hysterectomies (LAVH) for large bowel injuries.
  
  
  METHODS
  Retrospective review (Canadian Task Force classification II-2).
  
  
  METHODS
  University-affiliated hospital.
  
  
  METHODS
  Two thousand eighty-four women.
  
  
  METHODS
  LAVH.
  
  
  RESULTS
  Indications for hysterectomy were myomata uteri, adenomyosis, intractable menorrhagia, endometriosis, severe pelvic adhesions, cervical intraepithelial neoplasia, endometrial polyps, and hyperplasia. Large bowel injuries occurred in six women (2.9/1000), only one of which was recognized postoperatively. Colostomy was performed in four patients, simple repair in one, and laparoscopic repair in one. All these patients were discharged without sequelae.
  
  
  CONCLUSIONS
  In our experience, bowel injury during LAVH was not a common event.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, No 123-6, Ta-Pei Road, Naio Sung Hsiang, Kaohsiung, Taiwan.
authors.forename: Chung-Chang
authors.initials: CC
authors.lastname: Shen
authors.forename: Hsien-Ming
authors.initials: HM
authors.lastname: Lu
authors.forename: Shiuh-Young
authors.initials: SY
authors.lastname: Chang
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects*; D007416:Intestinal Perforation / Q000209:etiology*; D007420:Intestine, Large / Q000293:injuries*; D007431:Intraoperative Complications / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged; D012189:Retrospective Studies