2001
DOI: 10.1007/s004640090076
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Laparoscopic treatment of hemorrhage after vaginal hysterectomy or laparoscopically assisted vaginal hysterectomy (LAVH)

Abstract: Hemorrhage following vaginal hysterectomy or LAVH can be treated by laparoscopy in the majority of patients. Laparoscopy is recommended if the source of bleeding cannot be identified clearly by vaginal examination and/or if an intraabdominal bleeding source is suspected.

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Cited by 16 publications
(27 citation statements)
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“…1 In our study, 21 patients (1.3%) had secondary hemorrhage among 1613 hysterectomies. There are few published reports of the incidence of secondary hemorrhage after hysterectomy.…”
Section: Discussionmentioning
confidence: 48%
See 1 more Smart Citation
“…1 In our study, 21 patients (1.3%) had secondary hemorrhage among 1613 hysterectomies. There are few published reports of the incidence of secondary hemorrhage after hysterectomy.…”
Section: Discussionmentioning
confidence: 48%
“…Although the overall incidence of secondary hemorrhage is low, gynecologists do come across secondary hemorrhage of varying degrees of severity. 1 A few studies have shown the overall incidence of hemorrhage to be 0.2% and 2% after hysterectomy, which includes reactionary and secondary hemorrhage. 14 Our center has been performing laparoscopic hysterectomies since 1994, and we have encountered 1 or 2 cases of secondary hemorrhage per year in the second or third postoperative week that necessitates hospitalization and active treatment.…”
Section: Introductionmentioning
confidence: 99%
“…The traditional approach to treating patients with postoperative hemorrhage is repeated surgery [1][2][3][4][5][6]. However, the disadvantages of surgical treatment for massive pelvic bleeding after gynecologic surgery are the need for general anesthesia under hemodynamically unstable condition, and secondary surgical complications including infection, bleeding, and ureteral injury may occur in an emergency setting.…”
Section: Discussionmentioning
confidence: 99%
“…Postoperative hemorrhagic complication can occur despite meticulous surgical technique and is not uncommon after abdominal [1], vaginal [1][2][3][4], or laparoscopic [3][4][5][6][7][8][9] surgeries. Because severe hemorrhage is a major cause of postoperative morbidity and death, every patient undergoing gynecologic surgery should be carefully monitored postoperatively until vital functions become stable.…”
Section: Discussionmentioning
confidence: 99%
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