熊切 順
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Professor |
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Article types | Original article |
Language | English |
Peer review | Peer reviewed |
Title | Potential risk of port-site adhesions in patients after laparoscopic myomectomy using radially expanding trocars. |
Journal | Formal name:International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics Abbreviation:Int J Gynaecol Obstet ISSN code:18793479/00207292 |
Domestic / Foregin | Foregin |
Volume, Issue, Page | 128(1),pp.5-9 |
Author and coauthor | Kumakiri Jun†*, Kikuchi Iwaho, Kitade Mari, Jinushi Makoto, Shinjyo Azusa, Takeda Satoru |
Authorship | Lead author,Corresponding author |
Publication date | 2015/01 |
Summary | OBJECTIVE:To investigate the incidence of port-site adhesions following use of radially expanding trocars (RETs) at laparoscopic myomectomy by observation via second-look laparoscopy (SLL).METHODS:In a retrospective study, data from patients who underwent SLL after laparoscopic myomectomy between January 2007 and June 2012 at Juntendo University Hospital, Tokyo, were assessed for the incidence of port-site adhesions forming below RET incisional scars when fascial and peritoneal defects had not been closed.RESULTS:During the study period, 554 patients underwent SLL, and 2176 incisional scars were examined. Adhesions were detected in 15 patients (2.8%); thus, the incidence of port-site adhesions under scars was 0.7% (15/2176). Among these 15 patients, the wounds with adhesions were located as follows: 6 (1.1%) under the umbilical scar, 5 (0.9%) under the right lower abdominal scar, 2 (0.4%) under the left upper abdominal scar, and 2 (0.4%) under the left lower abdominal scar. According to multiple regression analysis, the duration of laparoscopic myomectomy was positively associated with port-site adhesions (odds ratio, 1.79; 95% confidence interval, 1.09-2.94; P=0.02).CONCLUSION:The present data suggest that the incidence of port-site hernias and adhesions under RET incisional scars is low despite the non-closure of fascial and peritoneal defects. |
DOI | 10.1016/j.ijgo.2014.07.030 |
PMID | 25282402 |