2018
DOI: 10.2147/ijwh.s173258
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A laparovaginal strategy to avoid bladder injury during laparoscopic-assisted vaginal hysterectomy in cases with ventrofixed uterus following previous cesarean section

Abstract: BackgroundLaparoscopic hysterectomy for benign indications in cases with ventrofixed uterus following previous cesarean section (CS) increases the surgeon’s concern of bladder injury. The present study describes a laparovaginal strategy to avoid bladder injury during laparoscopic-assisted vaginal hysterectomy (LAVH) in cases with ventrofixed uterus following previous CS.MethodsIn a retrospective study conducted in our private general hospital, we included consecutive cases of laparoscopically confirmed ventrof… Show more

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Cited by 2 publications
(3 citation statements)
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“…Filling the bladder with saline is another technique utilised to clarify the boundary with the uterus, which may be cause for concern [18]. Several reports in the literature aimed to decrease these serious urological complications by for example dissecting from the vaginal rout [19] or laterally to the adhesions [20]. Although Shellhaas and colleagues (2009) [18] did not detect a statistically significant beneficial effect of filling the bladder with saline, shorter operation times, shorter postoperative hospital stays, and fewer bladder injuries were noted in patients whose bladders were filled.…”
Section: Discussionmentioning
confidence: 99%
“…Filling the bladder with saline is another technique utilised to clarify the boundary with the uterus, which may be cause for concern [18]. Several reports in the literature aimed to decrease these serious urological complications by for example dissecting from the vaginal rout [19] or laterally to the adhesions [20]. Although Shellhaas and colleagues (2009) [18] did not detect a statistically significant beneficial effect of filling the bladder with saline, shorter operation times, shorter postoperative hospital stays, and fewer bladder injuries were noted in patients whose bladders were filled.…”
Section: Discussionmentioning
confidence: 99%
“…Given the high prevalence of both CS and HR, a lot of women who have had a previous CS will need HR later in their life [1,2,3] . Previous pelvic surgeries, including CS's, may lead to formation of significant intra-abdominal adhesions, especially along the previously dissected bladder [5,6] . Previous CS has been found to be associated with an increased odds of surgical complications in women undergoing HR later in their life [7] .…”
Section: Introductionmentioning
confidence: 99%
“…Women were included if they had all the following criteria: (1) women with prior ≥ one CS, (2) non-descent uteri ≥ second degree uterine descent even under anesthesia, (3) patient's age ≥18 years old (4) execution of general or spinal anesthesia, (5) the execution of hysterectomy via vaginal or abdominal route, (6) benign uterine diseases, (7) clinical follow-up until completely cured or≥ 30 days postoperatively.…”
Section: Introductionmentioning
confidence: 99%