Total laparoscopic hysterectomy for cervical stenosis after cervical conization
-
- Arino Yuko
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Katayama Kayo
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Miyamoto Asami
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Nakashima Ayaka
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Nakanishi Sayuri
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Uchida Eri
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Shimura Mai
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Nagashima Ami
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Mochimaru Aya
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
-
- Saji Haruya
- Department of Obstetrics and Gynecology, Fujisawa City Hospital
Bibliographic Information
- Other Title
-
- 子宮頸部円錐切除後のマニピュレーター挿入困難な頸管狭窄例に対する全腹腔鏡下子宮全摘術の検討
Search this article
Abstract
<p> A uterine manipulator is a useful device that facilitates safe total laparoscopic hysterectomy (TLH). However, cervical stenosis may occasionally occur after cervical conization, particularly in postmenopausal women or in women who undergo deep cervical resection. The routine use of a uterine manipulator during TLH becomes impossible in such cases. We report safe and effective TLH for post-conization cervical stenosis; we have focused on the surgical technique based on intraoperative videos. Of the 27 patients who underwent TLH after cervical conization between November 2016 and June 2018 at our hospital, 11 patients developed post-conization cervical stenosis. Based on outpatient medical records, cervical stenosis was defined as difficulty with uterine probe insertion. In this study, routine insertion of a uterine manipulator was not possible in patients with cervical stenosis; however, laparoscopy guided uterine manipulator insertion was successful in 70% of patients. Despite the inability to insert the manipulator, we could successfully perform safe TLH using an additional port to pull the uterus.</p>
Journal
-
- JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY
-
JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY 38 (1), 1-7, 2022
JAPAN SOCIETY OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY AND MINIMALLY INVASIVE THERAPY
- Tweet
Details 詳細情報について
-
- CRID
- 1390292274145325184
-
- ISSN
- 18845746
- 18849938
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
-
- Abstract License Flag
- Disallowed