Risk Factors Associated with Perineal and Vaginal Lacerations and Vaginal Removal in Total Laparoscopic Hysterectomy.

Autor:	Chikazawa K; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Imai K; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Ko H; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Ichi N; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Misawa M; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan., Kuwata T; Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan.
Jazyk:	angličtina
Zdroj:	Gynecology and minimally invasive therapy [Gynecol Minim Invasive Ther] 2022 Aug 05; Vol. 11 (3), pp. 150-154. Date of Electronic Publication: 2022 Aug 05 (Print Publication: 2022).
DOI:	10.4103/gmit.gmit_118_21
Abstrakt:	Objectives: This study aimed to identify risk factors associated with perineal and vaginal lacerations related to vaginal removal during total laparoscopic hysterectomy (TLH). Materials and Methods: We retrospectively assessed 134 patients who underwent TLH, of whom 44 (32.8%) had vaginal lacerations. Results: Univariate analysis revealed that for patients with myomas and adenomyosis, gonadotropin-releasing hormone agonist use and myomas with a transverse diameter of ≥5 cm were significant risk factors, while multiparity (vaginal delivery) was a protective factor for perineal and vaginal lacerations. Moreover, multivariate analysis indicated that multiparity was the only statistically significant protective factor. For cervical intraepithelial neoplasia, endometrial cancer, and endometrial hyperplasia, only a uterine transverse diameter of ≥5 cm was a significant risk factor for perineal or vaginal lacerations. Conclusion: For patients with large myomas, multiple vaginal delivery was a protective factor, and in patients with normal-sized uteri, a uterine transverse diameter of ≥5 cm was a risk factor for perineal or vaginal lacerations. Competing Interests: There are no conflicts of interest. (Copyright: © 2022 Gynecology and Minimally Invasive Therapy.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu