Feasibility and Outcome of Advanced Laparoscopic Surgery in About 350 Patients from 2016 Till 2019

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 337

نسخه کامل این مقاله ارائه نشده است و در دسترس نمی باشد

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این مقاله:

شناسه ملی سند علمی:

COBGY15_041

تاریخ نمایه سازی: 11 آبان 1398

چکیده مقاله:

Backgrounds: Endometriosis disease is defined as the presence of endometrial-like tissue outside of the uterine cavity, with possible myometrial (adenomyosis), ovarian superficial, or deep peritoneal involvement. Multiple extragenital and extrabdominal locations have been described as well .Deep infiltrating endometriosis (DIE) is diagnosed on detection of an infiltration R5 mm beneath the peritoneal surface Endometriosis is commonly associated with chronic pelvic pain and infertility. Superficial or deep lesions caninvolve virtually any pelvic or extrapelvic organ, with the location of pain often reflecting the extent of the disease.The aim of this study is the preliminary report of endometriosis laparoscopic surgery by one surgeon during 2.5 years.Material and Method: This cross-sectional study was conducted during 2/5 years laparoscopic surgery of myself in Jam hospital and Avicenna endometriosis center.We retroscopicaly include all patients with confirmed diagnosis of endometriosis and laparoscopic surgery performed by one surgeon.All the medical charts were reviewed and the demographic information, the preoperative diagnostic evaluations, surgical approach, intraoperative, and postoperative findings were recorded.Result: There was 350 stage 4 endometriosis patients.Mean age=35.14.The main chief complaint of these patients 49% infertility and 55% pain.47%of the patients adenomyosis. 40% endometrioma and adhesion. 0.8%(2) ureteroneocystostony. Bowel involvement was 49%. 66 segmental, 39 shave ,34 disc .7 patients had Total laparoscopic hysterectomy and segmental bowel resection.2 intraoperative ileostomy (0/6%).2 intraoperative complication (one bladder one ureteral injury).1 rectovaginal fistula in Tlh and bowel resection patient.Return to OR 0.1%Transfusion 0.6%Conclusion: Laparoscopic endometriosis surgeries is safe and effective in severe endometriosis patients if it is done in referral centers and with multidisciplinary approach.

نویسندگان

Padmehr Roya

Avecinna endometriosis center Tehran Iran

Hossien Yoseffam

Avecinna endometriosis center Tehran Iran

Saeed Arasteh

Avecinna endometriosis center Tehran Iran