Total laparoscopic hysterectomy after liver transplantation.
BACKGROUND
The number of females who undergo liver transplantation is growing and sometimes gynecologic operations are needed to control gynecologic diseases after liver transplantation.


METHODS
Total laparoscopic hysterectomy was performed in 2 patients who had undergone liver transplantation, one for adenomyosis and the other for hysteromyoma.


RESULTS
It was safe to create a pneumoperitoneum through the umbilical skinfold even though mild adhesion in the pelvic cavity occurred in one patient. The operative times were 95 and 90 minutes, with blood loss of about 100 and 60 ml, respectively. Oral intake, flatus passage, and ambulation recovered within a day, after the operation. No significant changes in liver function were observed except complication of diarrhea caused by Candida albicans in one patient.


CONCLUSIONS
The result of the two patients suggest that total laparoscopic hysterectomy is a safe and effective surgical approach for patients who have undergone liver transplantation.
Zhu
Hai-Bing
HB
Department of Obstetrics and Gynecology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jin
Yue
Y
Xu
Shao-Ting
ST
Xia
Ya-Xian
YX
Xie
Li-Ping
LP
D016889:Endometrial Neoplasms / Q000601:surgery*; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008111:Liver Function Tests; D016031:Liver Transplantation; D008875:Middle Aged; D009214:Myoma / Q000601:surgery*; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000601:surgery*