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Laparoscopic OophorectomyComparative Study of Ligatures, Bipolar Coagulation, and Automatic Stapling Devices

 

作者: JAMES DANIELL,   BRYAN KURTZ,   JI-YUN LEE,  

 

期刊: Obstetrics & Gynecology  (OVID Available online 1992)
卷期: Volume 80, issue 3, Part 2  

页码: 325-328

 

ISSN:0029-7844

 

年代: 1992

 

出版商: OVID

 

数据来源: OVID

 

摘要:

ObjectiveWe assessed laparoscopic oophorectomy using three techniques.MethodsFrom January 1989 to October 1991, 65 patients underwent laparoscopic oophorectomy using three techniques: bipolar coagulation, pretied ligature placement, and automatic stapling devices. The patients were aged 18–57 years and had the indications of pain, ovarian endometriosis, adhesions, unilateral blocked tubes, breast cancer, and recurrent benign ovarian cysts. The primary method of adnexal removal involved the automatic stapling device in 17, bipolar coagulation in 30, and pretied ligatures in 18.ResultsTotal anesthesia time ranged from 45–123 minutes, with means of 77 minutes for pretied ligatures, 84 minutes for bipolar coagulation, and 84 minutes for automatic stapling devices. Sixty-two patients were discharged within 23 hours, two stayed two nights, and one stayed three nights. Rectus muscle bleeding and hematoma formation were the only complications in this series.ConclusionAll three methods of laparoscopic oophorectomy are effective, with similar operative times and uniformly good results for the patients.

 

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