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Benefits of intracervical injection of sterile saline solution in laparoscopically assisted vaginal hysterectomy with vaginal colpotomy and bladder mobilization.
J Reprod Med. 2005 Aug; 50(8):607-12.JR

Abstract

OBJECTIVE

To evaluate the influence of intracervical saline injection on inexperienced operators and on laparoscopically assisted vaginal hysterectomy (LAVH).

STUDY DESIGN

This retrospective study included 273 women undergoing LAVH. From July 1997 to June 2002, 138 LAVHs were performed with laparoscopically approached colpotomies and bladder mobilization. Among 135 LAVHs with a vaginal approach, colpotomies/bladder mobilization was done directly in 62 and in the other 73 after a circumferential intracervical saline injection. All operations were performed by inexperienced operators under the supervision of senior surgeons. Blood loss, operative time and complications were analyzed.

RESULTS

The average follow-up period was 41.2 +/- 17.4 months (range, 12-72). No statistically significant differences were observed in age, hemoglobin levels or length of postoperative hospital stay. The incidence of postoperative infection, hematoma and bowel injury was not significantly different. LAVH with vaginal colpotomies/bladder mobilization and intracervical saline injection was associated with the smallest estimated blood loss (p = 0.002) and operative time (p < 0.001). LAVH with laparoscopic colpotomies and bladder mobilization had the longest operative time (p<0.001) and the highest bladder injury rate (p= 0.004).

CONCLUSION

A circumferential injection of normal saline at the cervicovaginal junction is a good option for inexperienced operators.

Authors+Show Affiliations

Horng SG
Department of Obstetrics and Gynecology, Chang-Gung Memorial Hospital, Taipei, Taiwan.
Huang KG
No affiliation info available
Lo TS
No affiliation info available
Soong YK
No affiliation info available

MeSH

Blood Loss, SurgicalColpotomyFemaleHemoglobinsHumansHysterectomy, VaginalIntraoperative ComplicationsLaparoscopyLength of StayMiddle AgedPostoperative ComplicationsRetrospective StudiesSodium ChlorideTreatment OutcomeUrinary Bladder

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16220767

Citation

Horng, Shang-Gwo, et al. "Benefits of Intracervical Injection of Sterile Saline Solution in Laparoscopically Assisted Vaginal Hysterectomy With Vaginal Colpotomy and Bladder Mobilization." The Journal of Reproductive Medicine, vol. 50, no. 8, 2005, pp. 607-12.
Horng SG, Huang KG, Lo TS, et al. Benefits of intracervical injection of sterile saline solution in laparoscopically assisted vaginal hysterectomy with vaginal colpotomy and bladder mobilization. J Reprod Med. 2005;50(8):607-12.
Horng, S. G., Huang, K. G., Lo, T. S., & Soong, Y. K. (2005). Benefits of intracervical injection of sterile saline solution in laparoscopically assisted vaginal hysterectomy with vaginal colpotomy and bladder mobilization. The Journal of Reproductive Medicine, 50(8), 607-12.
Horng SG, et al. Benefits of Intracervical Injection of Sterile Saline Solution in Laparoscopically Assisted Vaginal Hysterectomy With Vaginal Colpotomy and Bladder Mobilization. J Reprod Med. 2005;50(8):607-12. PubMed PMID: 16220767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Benefits of intracervical injection of sterile saline solution in laparoscopically assisted vaginal hysterectomy with vaginal colpotomy and bladder mobilization. AU - Horng,Shang-Gwo, AU - Huang,Kuan-Gen, AU - Lo,Tsia-Shu, AU - Soong,Yoong-Kuei, PY - 2005/10/14/pubmed PY - 2006/3/1/medline PY - 2005/10/14/entrez SP - 607 EP - 12 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 50 IS - 8 N2 - OBJECTIVE: To evaluate the influence of intracervical saline injection on inexperienced operators and on laparoscopically assisted vaginal hysterectomy (LAVH). STUDY DESIGN: This retrospective study included 273 women undergoing LAVH. From July 1997 to June 2002, 138 LAVHs were performed with laparoscopically approached colpotomies and bladder mobilization. Among 135 LAVHs with a vaginal approach, colpotomies/bladder mobilization was done directly in 62 and in the other 73 after a circumferential intracervical saline injection. All operations were performed by inexperienced operators under the supervision of senior surgeons. Blood loss, operative time and complications were analyzed. RESULTS: The average follow-up period was 41.2 +/- 17.4 months (range, 12-72). No statistically significant differences were observed in age, hemoglobin levels or length of postoperative hospital stay. The incidence of postoperative infection, hematoma and bowel injury was not significantly different. LAVH with vaginal colpotomies/bladder mobilization and intracervical saline injection was associated with the smallest estimated blood loss (p = 0.002) and operative time (p < 0.001). LAVH with laparoscopic colpotomies and bladder mobilization had the longest operative time (p<0.001) and the highest bladder injury rate (p= 0.004). CONCLUSION: A circumferential injection of normal saline at the cervicovaginal junction is a good option for inexperienced operators. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/16220767/Benefits_of_intracervical_injection_of_sterile_saline_solution_in_laparoscopically_assisted_vaginal_hysterectomy_with_vaginal_colpotomy_and_bladder_mobilization_ DB - PRIME DP - Unbound Medicine ER -