Characteristics and management of large bowel injury in laparoscopic-assisted vaginal hysterectomy.
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.
Shen
Chung-Chang
CC
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, 4F-4, No 123-6, Ta-Pei Road, Naio Sung Hsiang, Kaohsiung, Taiwan.
Lu
Hsien-Ming
HM
Chang
Shiuh-Young
SY
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