Laparoscopic hysterectomy complications related factors and prevention.docVIP

 PAGE \* MERGEFORMAT 16 Laparoscopic hysterectomy complications related factors and prevention [Keywords:] Laparoscopy; hysterectomy; complications Laparoscopic surgery for its good results, the patient less pain and quicker recovery, etc., are widely used in gynecology. As laparoscopic surgical procedure is different from open surgery, so the complications and treatment varies. laparoscopy in our hospital late start in our hospital 600 cases of laparoscopic hysterectomy (TLH) in 34 cases the cause of complications and treatment were analyzed as follows. 1 Materials and Methods 1.1 General information on our hospital from 2005 to 2009 for elective gynecological patients TLH 600 cases, patients had no major organ dysfunction, no severe cardiopulmonary disease, no coagulopathy. The age of 41 to 67 years (mean 47.25 + -1.5) years, 600 cases of uterine size is greater than 2 months pregnant were 460 cases, of which more than 3 months pregnant and 62 patients with previous history of pelvic surgery and 80 cases. 1.2 Methods were operated under general anesthesia, patients taking low bladder lithotomy position head high enough to tilt 15 ° ~ 30 °, intraoperative monitoring of ECG, blood oxygen, airway pressure, place the catheter and the house held device. Umbilicus inlet needle, pneumoperitoneum maintained at 12 ~ 14 mm Hg. umbilicus to insert the first Trocar (10 mm), surgery in 4 point, according to TLH normal operation, intraoperative use of scissors, monopolar knife or scalpel cutting, bleeding and more use of monopolar, bipolar coagulation and suture. prophylactic antibiotics, usually 4 to 7 days after discharge. complication is intraoperative or postoperative treatment required an additional conservative treatment, surgical intervention, prolonged time to observe the treatment of hospitalized patients. 2 Results 600 cases of laparoscopic hysterectomy in 34 cases of surgical complications, the rate was 5.67%, of which 3 cases emphysema 0.5%