- 期刊
- OpenAccess
Can Vasopressin Decrease the Blood Loss in Laparoscopic Assisted Vaginal Hysterectomy?-A Randomized Study
並列摘要
Background: To investigate whether vasopressin used during laparoscopic assisted vaginal hysterectomy could decrease blood loss without increasing complications. Methods: Eighty-three patients undergoing laparoscopic assisted vaginal hysterectomy (LAVH) were randomly divided into 2 groups. Each group received type II laparoscopic assisted vaginal hysterectomy. The first group (n=42) received submucosal vasopressin (5 units in 40 ml normal saline) injection circumferentially around the cervix. The second group (n=41) received submucosal 40 ml normal saline injection by the same condition. Results: The 2 groups were very similar with regard to their demographics, preoperative diagnosis, and relevant findings at surgery. The blood loss in the vasopressin and control groups were 245±124 mL and 257±110 mL (mean±SD) respectively. The mean postoperative decrease of hemoglobin/hematocrit in the vasopressin group (1.1±0.8mg/dL/3.9±2.7%) and control group (1.4±1.3mg/dL/5.3±3.2%) are not different statistically. There was no significant difference between the 2 groups with respect to possible confounding variables or surgical complications. Conclusions: Injection of vasopressin at the time of laparoscopic assisted vaginal hysterectomy does not significantly reduce blood loss.
被引用紀錄
延伸閱讀
- Yagci, M. A., & Kayaalp, C. (2014). Transvaginal Appendectomy: A Systematic Review. Minimally Invasive Surgery, (2014), 31-38. https://doi.org/10.1155/2014/384706
- Tohill, B. C., Heilig, C. M., Klein, R. S., Rompalo, A., Uvin, S. C., Brown, W., & Duerr, A. (2004). Vaginal flora morphotypic profiles and assessment of bacterial vaginosis in women at risk for HIV infection. Infectious Diseases in Obstetrics and Gynecology, 2004(), 121-126. https://doi.org/10.1080/10647440400020711
- Shetty, J., Shanbhag, A., & Pandey, D. (2014). Converting Potential Abdominal Hysterectomy to Vaginal One: Laparoscopic Assisted Vaginal Hysterectomy. Minimally Invasive Surgery, (2014), 21-25. https://doi.org/10.1155/2014/305614
- Liu, C. Y., Cheng, C. C., Sun, H. L., & Wu, Y. Y. (2011). Postoperative Pain after Laparoscopic, Vaginal and Abdominal Hysterectomy for Benign Pathology: A Nationwide population-based Comparison. 疼痛醫學雜誌, 21(1), 8-15. https://doi.org/10.29792/TTJP.201103.0002
- Choi, Y. S., Shin, K. S., Choi, J., Park, J. N., Oh, Y. S., & Rhee, T. E. (2012). Single-Port Access Laparoscopy-Assisted Vaginal Hysterectomy: Our Initial Experiences with 100 Cases. Minimally Invasive Surgery, 2012(), 214-218. https://doi.org/10.1155/2012/543627