ENDOSCOPIC SLIDE Flyer - AGES

More documents

Recommendations

Info

FREE COMMUNICATIONS POSTER EXHIBITION UTERINE SURGERY >>>>>>>>>>> THE LIMITS OF ENDOSCOPIC SURGERY Inadvertent cystotomy at laparoscopic hysterectomy Free Communications - Poster Soo S, Hardas G, Merkur H Study objective: This study was undertaken to investigate the inadvertent cystotomy rates and outcomes associated with Laparoscopic Hysterectomy. To compare this with other series in the literature and to identify risk-factors, site of injury, method of repair, post-operative course and long-term sequelae. Design: 616 patients who had Laparoscopic Hysterectomy were identified. The data was prospectively collected between 1999 and 2006 and retrospectively analyzed. All cases complicated by an inadvertent cystotomy were documented and follow up was performed at 3to 6 months in all cases. Analysis is by intention to treat. Setting: Advanced gynecological endoscopy teaching hospitals. Patients: 616 patients undergoing Laparoscopic Hysterectomy with either Laparoscopic Assisted Vaginal Hysterectomy or Total Laparoscopic Hysterectomy. Measurements and main results: Of the 616 patients who had laparoscopic hysterectomy, the inadvertent cystotomy rate was 1.46% (9/616) with no reported long term sequelae. Results & discussion: The rate of inadvertent cystotomy in this study is comparable to that in recent published data. Our results also compare well with those published on abdominal hysterectomy (1.5-2%). All injuries occurred at the bladder dome where repair is relatively simple with minimal risk of ureteric disruption. This contrasts with vaginal hysterectomy where bladder injury, although rare, may involve the trigone with a greater risk of ureteric disruption following repair. Further data and discussion of the management in each of the 9 cases of inadvertent cystotomy will be presented. Author address: Samuel Soo Endoscopic Gynaecological Surgery Fellow, George Hardas, Harry MerkurSydney West Advance Gynaecological Endoscopy Unit : Sydney West Advanced Pelvic Surgery Unit : Sydney West Area Health Service Review of 100 cases of laparoscopic hysterectomy in patients with previous caesarean sections Free Communications - Poster Soo S, Merkur H, Herdas G Study objective: This study was undertaken to investigate the complication rates associated with Laparoscopic Hysterectomy in patients who have had caesarean section(s). To identify if there are specific complications that are higher in this group of patients and to compare these rates with patients who have not had Caesarean section(s). Design: 616 patients had Laparoscopic Hysterectomy of which 100 patients have had one or more previous Caesarean section. The data was prospectively collected between 1999 and 2006 and retrospectively analyzed. All peri-operative complications were documented and follow up was performed at 4 to 8 weeks in all cases. Analysis is by intention to treat. Major complications include inadvertent cystotomy, ureteric injury, bowel injury, haemorrhage greater than 500mls. Setting: Advanced gynecological endoscopy teaching hospitals. Patients: 100 patients with one or more previous Caesarean Section undergoing Laparoscopic Hysterectomy. Interventions: Laparoscopic Hysterectomy completed with either Laparoscopic Assisted Vaginal Hysterectomy or Total Laparoscopic Hysterectomy. Measurements and main results: Of the 100 patients who had laparoscopic hysterectomy with previous Caesarean(s), the major complication rate was 14% (14/94) with a conversion to laparotomy rate of 7% (7/94). Results: A higher major complication rate of 14% and a significant higher rate of inadvertent cystotomy of 5% was observed in the group of patients undergoing Laparoscopic Hysterectomy with one or more previous Caesarean. Conclusions: This study suggest that there is a higher major complication rate when performing Laparoscopic Hysterectomy in patients with previous Caesarean sections. This has important implications towards counseling and consenting in these patients for Laparoscopic hysterectomy. There is currently inadequate data to suggest whether a laparoscopic, laparotomy or vaginal approach is safest in these patients and a randomized controlled trial comparing the above is needed. Author address: Samuel Soo Endoscopic Gynaecological Surgery Fellow, Harry Merkur, George Hardas: Sydney West Advance Gynaecological Endoscopy Unit: Sydney West Advance Pelvic Surgery Unit: Sydney West Area Health Service 52 >>>>>>>> THE LIMITS OF ENDOSCOPIC SURGERY
FREE COMMUNICATIONS POSTER EXHIBITION UTERINE SURGERY THE LIMITS OF ENDOSCOPIC SURGERY
Page 1 and 2:
Australian Gynaecological Endoscopy
Page 3 and 4: CONTENTS >>>>>>>>> Faculty and Comm
Page 5 and 6: Welcome AGES President and Conferen
Page 7 and 8: PROGRAM 1420 - 1430 An enlarged ute
Page 9 and 10: PROGRAM 1100 - 1200 SESSION 9 LAPAR
Page 11 and 12: CONFERENCE SOCIAL PROGRAM Cocktail
Page 13 and 14: FRIDAY 18 AUGUST THE LIMITS OF ENDO
Page 21 and 22: SATURDAY 19 AUGUST THE LIMITS OF EN
Page 23 and 24: SATURDAY 19 AUGUST THE LIMITS OF EN
Page 25 and 26: FREE COMMUNICATIONS THE LIMITS OF E
Page 52 and 53: FREE COMMUNICATIONS POSTER EXHIBITI
Page 60 and 61: AGES HOSTS WORLD ENDOMETRIOSIS 2008
Page 62 and 63: MEMBERSHIP OF AGES >>>>>>>>>>> THE
Page 64: CONFERENCE INFORMATION AND CONDITIO
show all

ENDOSCOPIC SLIDE Flyer - AGES

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?