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골반경수술
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골반경수술.hwp
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골반경수술.hwp
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자료설명
골반경을 이용한 자궁근종절제술의 가장 큰 문제점은 meticulous suturing이 어렵다는 사실 이다. 그래서 intramural hema...
본문/내용
골반경을 이용한 자궁근종절제술의 가장 큰 문제점은 meticulous suturing이 어렵다는 사실 이다. 그래서 intramural hematoma가 형성되어 흡수되면서 uteroperitoneal fistula가 생길수 있으며,(Nezhat and Nezhat, 1991) thermal energy의 광범위한 사용으로 인해 tissue necrosis가 야기되어 scar strength가 약해져 임신했을 때 uterine rupture가 생길 수 있다.
현재 laparoscopic myomectomy후 임신 3분기에 자궁파열이 발생한 3례의 증례보고가 있다.(Harris,1992; Dubinsson et al.,1995; Friedman et al.,1996) 이러한 자궁파열은 개복술하 여 자궁근종절제술후에도 보고되어 있다.(Rubin,1942; Georgakopoulous and Bersis, 1981; Golan et al.,1990) 그래서 Nezhat등은 laparoscopically assisted mini-laparotomy myomectomy를 함으로써 meticulous suturing이 가능하다고 제안하였다. 이러한 방법은 크기 가 크고 깊게 파묻혀 있는 intrmural myoma인 경우 multilayer suturing이 가능하므로 좋은 방법이나 broad ligament에 위치한 myoma, 자궁후벽의 myoma, 뚱뚱한 환자에서는 별도움이 되지 않는다.
또 다른 문제점은 골반경을 이용한 자궁근종절제술후 유착형성인데, adhesion barrier나 thrombin등을 사용하나, 현재 유효하다고 입증된 것은 없으며 개복술과 비교하여 골반경 수술 후에 유착형성의 빈도에 관한 체계적인 연구가 없으므로 골반경을 이용함으로써 유착…
또 다른 문제점은 골반경을 이용한 자궁근종절제술후 유착형성인데, adhesion barrier나 thro…
또 다른 문제점은 골반경을 이용한 자궁근종절제술후 유착형성인데, adhesion barrier나 thro…
참고문헌
Albini S, Benadiva C, Haverly K, et al. Management of benign cystic teratoma : Laparoscopy compared with laparotomy. J Am Assoc Gynecol Laparoscopy 1994;1:219.
Beyth Y. Gonadotropin-releasing hormone analog treatment should not precede conservative myomectomy. (letter) Fertil Steril 1990;53:187.
Burch JC. Cooper`s ligament urethrovesical suspension for stress incontinence. Am J Obstet Gynecol 1968;100:764-772.
Canis M, Mage G, Wattiez J, et al. The management of adnexal cyst. lst ed, London, Blackwell Scientific publications 1994;149.
Chapron C, Dubuisson JB, Aubert V. Laparoscopic hysterectomy : It is not such an expensive surgical procedure. Am J Obstet Gynecol 1994;170:1210.
Clarke HC. An improved ligator in operative laparoscopy. Obstet Gynecol. 1994;83:299.
Decherney AH, Diamond MP. Laparoscopic salpingostomy for ectopic pregnancy Obstet Gynecol 1987;70:948.
Dembo A, Davy M, Stenwig A, et al. Prognostic factors in patients with stage I epithelial ovarian carcinoma. Obstet Gynecol 1990;75:263.
Dicker RC, Greenspan JR, Strauss LT, et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the united states. Am J Obstet Gynecol 1982;144:841.
Dubuisson JB, Aubriot FX. Foulot H, et al. Reproductive outcome after laparoscopic salpingectomy for tubal pregnancy. Fertil Steril 1990; 53:1004.
Dubinsson JB, Chapron C, Chavet X, et al. Fertility after laparascopic myomectomy of large intramural myoma : preliminary results. Hum Reprod 1996;11:518.
Dubinsson J.B., Chapron C, Mouly M, et al. Laparosopic myomectomy. Gynecol Endosc 1993;12:171.
Dubinsson JB, Chavet X, Chapron C, et al. Uterine rupture during pregnancy after laparoscopic myomectomy. Hum Reprod. 1995;10:1475.
Friedman W, Maier RF, Luttkus A, et al. Uterine rupture after laparoscopic myomectomy. Acta Obstet Gynecol Scand. 1996;75:683.
Georgakopoulous PA and Bersis G. Sigmoid-uterine rupture in pregnancy after multiple myomectomy. Int Surg 1981;66:367.
Golan D, Aharoni A, Gonen R, et al. Early spontaneous rupture of the postmyomectomy gravid uterus. Int J Gynecol Obstet 1990;31:167.
Goldfarb HA. Nd : YAG laser laparoscopic coagulation of symptomatic myomas. J Reprod Med. 1992;37:636.
Guerriero S, Ajossa S, Mais V, et al. Endosonography and ovarian endometriosis. Journal of Clinical Ultrasound. 1996;24:220.
Harris WJ. Uterine dehiscence following laparoscopic myomectomy. Obstet Gynecol. 1992;80:545
Henry-Suchet J, Soler A, Loffredo V. Laparoscopic treatment of tuboovarian abscesses J. Reprod Med. 1984;29:579.
Hulka JF, Levy BS, Parker WH, et al. Laparoscopic-Assisted vaginal hysterectomy : American association of Gynecologic Laparoscopists` 1995 Membership survey. The Journal of The American Association of Gynecologic Laparoscopists 1997;4:167.
Igarashi. Value of myomectomy in the treatment of infertility (Letters-to-the editor) Fertil Steril 1993;59:1331.
Ikuma K, Koyasu Y, Yamada Y, et al. Laparospic cystectomy of ovarian cyst : New technical approach. Gynaecol Endosc 1996;5:75.
Kilkku P. Supracervical uterine amputation versus hysterectomy with reference to subjective bladder symptoms and incontinence. Acta Obstet Gynecol Scand 1985;64:147.
Kresch AJ, Seifer DB, Sachs LB, et al. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984;64:672.
Lichten EM, Bombard J. Surgical treatment of primary dysmenorrhea with laparosocpic uterine nerve ablation. J Reprod Med. 1987;32:37.
Liu CY. Laparoscopic hysterectomy. A Review of 72 cases. J Repord Med. 1992;37(4):351.
Liu CY. Laparoscopic retropubic colposuspension : a review of 58 cases. J Reprod Med 1993;38:526.
Liu CY. Laparoscopic hysterectomy and pelvic floor reconstruction. lst ed, Blackwell science, Cambridge Massachusettes, 1996;330.
Mintz M, Bessis R, Brodaty C, et al. Que deviennent les kystes para-uterines ponctionnes sous coelioscopie? Approts de l`echagraphie Gynecologic 1983;34:451.
Nezhat C, Nezhat F. Lagaroscopic segmental bladder resection for endometriosis : a report of two cases. Obstet Gynecol. 1993;81:882.
Nezhat C, Nezhat F. Lagaroscopic myomectomy complications. Int J Fertil 1991;37:64.(Letter)
Nezhat C, Nezhat F. Postopecative adhesion formation after ovarian cystectomy with and without ovarian reconstruction. presented at the 47th Annual meeting of American Fertility Society Orlando, FL, October 21-24, 1991.
Nezhat C, Winen W, Nezhat F. Laparoscopic removal of dermoid cysts. Obstet Gynecol 1989;73:278.
Nezhat C, Nezhat F, Nezhat CH. Operative laparoscopy (minimally invasive surgery) : state of the art. J Gynecol Surg 1992;8:111.
Nezhat C, Nezhat F, Green B. Laparoscopic treatment of obstructed ureter due to endomtriosis by resection and ureterouretcrostomy : a care report. J Urol 1992;148:659.
Nezhat CR, Nezhat F, Bess O, et al. Laparoscopically assisted myometromy : a comparison of a new technique to myomectomy by laparotomy and laparoscopy. Int J Fertil 1994;39:39.
Nezhat F, Nezhat C, Wellander CE, Benigno B. Four ovarian cancers diagnosed during laparoscopic management of 1011 women with adnexal masses. Am J Obstet Gynecol 1992;167:790.
Nezhat CH, Nezhat F, Nezhat C, Rottenberg H. Laparoscopic retropubic cystourethropexy. Journal of the American Asscioation of Gynecologic laparoscopists
1994;2:70.
Ou CS, Presthus J, Beadle E. Leparoscopic bladder neck suspension using hernia mesh and surgical staples J. Laparoendoscopic Surg 1993;3:563.
Peters AA, Trimbos-kemeper GC. Admiraal C, et al A. Randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynecol 1992;99:59.
Pittaway E, Tokacs P, Bauguess P. Laparoscopic adnexectomy : A comparison with laparotomy. Am J Obstet Gynecol 1994;171:385.
Pouly JL, Chapron C, Manhes H, et al. Multifactorial analysis of fertility after conservative laparoscopic treatment of ectopic pregnancy in a series of 223 patients. Fertil Steril 1991;56:453.
Redkin AJ, Reading AE. Chronic pelvic pain. Curr Probl Obstet Gynecol Fertil. 1991;14(4):99.
Redwine DB, Sharpe DR. Laparoscopic segmental resection ofthe sigmoidcolon for endometriosis. J Laparoendoscop Surg 1991;1:217.
Reedy MB, Galen HL, Richards WE, et al. Laparoscopy during pregnancy. A survey of laparoscopic surgeons. J Reprod Med 1997;42:33.
Reich H. Laparoscopic myomectomy. Obstet Gynecol Clin North Am. 1995;22:757.
Reich H, Garry R. Laparoscopic hysterectomy. Oxford : Blackwell publications, 1993;79.
Reich H, McGlynn F. Laparoscopic treatment of tubovarian and pelvic abscess. J Reprod Med 1987;32:747.
Reich H, Clarke HC, Sekel L. A simple method for ligating in operative laparoscopy with straight and curved needles. Obstet Gynecol. 1992;79:143.
Reich H, McGlynn F, Sekel L. Total laparoscopic hysterectomy. J Gynecol Endos 1993;2:59.
Reich H, McGlynn F, Sekel L, et al. Laparoscopic management of ovarian dermoid cysts. J Reprod Med 1992;37:640.
Reich H, Thompson KA, Nataupsky LG, et al. Laparoscopic myometomy : an alternative to laparotomy myometomy or hysterectomy. Gynaecological Endoscopy 1997;6:7.
Peiter R. A profile of women with chronic pelvic pain. Clin Obstet Gynecol 1990;33:130.
Rubin IC. Progress in myomectomy. Am J Obstet Gynecol 1942;44:196.
Schenken SR, Malinak RL. Reoperation after initial treatment of endometriosis with conservative surgery. Am J Obstet Gynecol 1978;131:416.
Stephen R, Susan R. Laparoscopic supracervical hysterectomy versus Laparoscopic assisted vaginal hysterectomy. J Am Ass Gynecol Laparo 1995;2:431.
Sjovall K, Nilsson B, Einhorm E. Different types of rupture of tumor capsule and the impact on survival in early ovarian carinoma. Int J Gynecol Cancer 1994;4:333.
Smith AR. Laparoscopic needle suspension. Bailliere`s Clin Obstet Gynecol 1995;9:757.
Steege JF, Stout AL. Resolution of chronic pelvic pain after laparoscopic lysis of adhesions. Am J Obstet Gynecol 1991;165:278.
Steiner RA, Wight E, Tadir Y, et al. Electrical cutting device for laparoscopic removal of tissue from the abdominal cavity. Obstetrics Gynecol 1993;81:471.
Stout AL, Steege JF, Dodson WC, et al. Relationship of laparoscopic findings to self-report of pelvic pain. Am J Obstet Gyencol. 1991;164:73.
Sutton CJG, Ewen SP, Whitelaw, et al. Prospective, randomized, double-blind controlled trial of laser laparoscopy in treatment of pelvic pain associated with minimal, mild, and moderate endomteriosis. Fertil Steril 1994;62:696.
Vancaillie TG, Butler DJ. Laparoscopic enterocele repair-description of a new technique. Gynecol Endosc 1993;2:211.
Vergote I, Kaern J, Abeler V, et al. Analysis of prognostic factors in stage I epithelial ovarian circinoma : Importance of degree of differentiation and deoxyribonucleic acid ploidy in predicting relapse. Am J Obstet Gynecol 1993l169:40.
Wiskind AK, Creighton SM, Starton SL. The incidence of genital prolapse after the Burch culposuspension. Am J Obstet Gynecol 1992;176:399.
Yao Myelene, Tuland1 Togas. Current status of surgical and Nonsurgical management of ectopic pregnancy. Fertil Steril 1997;67:421.
Beyth Y. Gonadotropin-releasing hormone analog treatment should not precede conservative myomectomy. (letter) Fertil Steril 1990;53:187.
Burch JC. Cooper`s ligament urethrovesical suspension for stress incontinence. Am J Obstet Gynecol 1968;100:764-772.
Canis M, Mage G, Wattiez J, et al. The management of adnexal cyst. lst ed, London, Blackwell Scientific publications 1994;149.
Chapron C, Dubuisson JB, Aubert V. Laparoscopic hysterectomy : It is not such an expensive surgical procedure. Am J Obstet Gynecol 1994;170:1210.
Clarke HC. An improved ligator in operative laparoscopy. Obstet Gynecol. 1994;83:299.
Decherney AH, Diamond MP. Laparoscopic salpingostomy for ectopic pregnancy Obstet Gynecol 1987;70:948.
Dembo A, Davy M, Stenwig A, et al. Prognostic factors in patients with stage I epithelial ovarian carcinoma. Obstet Gynecol 1990;75:263.
Dicker RC, Greenspan JR, Strauss LT, et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the united states. Am J Obstet Gynecol 1982;144:841.
Dubuisson JB, Aubriot FX. Foulot H, et al. Reproductive outcome after laparoscopic salpingectomy for tubal pregnancy. Fertil Steril 1990; 53:1004.
Dubinsson JB, Chapron C, Chavet X, et al. Fertility after laparascopic myomectomy of large intramural myoma : preliminary results. Hum Reprod 1996;11:518.
Dubinsson J.B., Chapron C, Mouly M, et al. Laparosopic myomectomy. Gynecol Endosc 1993;12:171.
Dubinsson JB, Chavet X, Chapron C, et al. Uterine rupture during pregnancy after laparoscopic myomectomy. Hum Reprod. 1995;10:1475.
Friedman W, Maier RF, Luttkus A, et al. Uterine rupture after laparoscopic myomectomy. Acta Obstet Gynecol Scand. 1996;75:683.
Georgakopoulous PA and Bersis G. Sigmoid-uterine rupture in pregnancy after multiple myomectomy. Int Surg 1981;66:367.
Golan D, Aharoni A, Gonen R, et al. Early spontaneous rupture of the postmyomectomy gravid uterus. Int J Gynecol Obstet 1990;31:167.
Goldfarb HA. Nd : YAG laser laparoscopic coagulation of symptomatic myomas. J Reprod Med. 1992;37:636.
Guerriero S, Ajossa S, Mais V, et al. Endosonography and ovarian endometriosis. Journal of Clinical Ultrasound. 1996;24:220.
Harris WJ. Uterine dehiscence following laparoscopic myomectomy. Obstet Gynecol. 1992;80:545
Henry-Suchet J, Soler A, Loffredo V. Laparoscopic treatment of tuboovarian abscesses J. Reprod Med. 1984;29:579.
Hulka JF, Levy BS, Parker WH, et al. Laparoscopic-Assisted vaginal hysterectomy : American association of Gynecologic Laparoscopists` 1995 Membership survey. The Journal of The American Association of Gynecologic Laparoscopists 1997;4:167.
Igarashi. Value of myomectomy in the treatment of infertility (Letters-to-the editor) Fertil Steril 1993;59:1331.
Ikuma K, Koyasu Y, Yamada Y, et al. Laparospic cystectomy of ovarian cyst : New technical approach. Gynaecol Endosc 1996;5:75.
Kilkku P. Supracervical uterine amputation versus hysterectomy with reference to subjective bladder symptoms and incontinence. Acta Obstet Gynecol Scand 1985;64:147.
Kresch AJ, Seifer DB, Sachs LB, et al. Laparoscopy in 100 women with chronic pelvic pain. Obstet Gynecol 1984;64:672.
Lichten EM, Bombard J. Surgical treatment of primary dysmenorrhea with laparosocpic uterine nerve ablation. J Reprod Med. 1987;32:37.
Liu CY. Laparoscopic hysterectomy. A Review of 72 cases. J Repord Med. 1992;37(4):351.
Liu CY. Laparoscopic retropubic colposuspension : a review of 58 cases. J Reprod Med 1993;38:526.
Liu CY. Laparoscopic hysterectomy and pelvic floor reconstruction. lst ed, Blackwell science, Cambridge Massachusettes, 1996;330.
Mintz M, Bessis R, Brodaty C, et al. Que deviennent les kystes para-uterines ponctionnes sous coelioscopie? Approts de l`echagraphie Gynecologic 1983;34:451.
Nezhat C, Nezhat F. Lagaroscopic segmental bladder resection for endometriosis : a report of two cases. Obstet Gynecol. 1993;81:882.
Nezhat C, Nezhat F. Lagaroscopic myomectomy complications. Int J Fertil 1991;37:64.(Letter)
Nezhat C, Nezhat F. Postopecative adhesion formation after ovarian cystectomy with and without ovarian reconstruction. presented at the 47th Annual meeting of American Fertility Society Orlando, FL, October 21-24, 1991.
Nezhat C, Winen W, Nezhat F. Laparoscopic removal of dermoid cysts. Obstet Gynecol 1989;73:278.
Nezhat C, Nezhat F, Nezhat CH. Operative laparoscopy (minimally invasive surgery) : state of the art. J Gynecol Surg 1992;8:111.
Nezhat C, Nezhat F, Green B. Laparoscopic treatment of obstructed ureter due to endomtriosis by resection and ureterouretcrostomy : a care report. J Urol 1992;148:659.
Nezhat CR, Nezhat F, Bess O, et al. Laparoscopically assisted myometromy : a comparison of a new technique to myomectomy by laparotomy and laparoscopy. Int J Fertil 1994;39:39.
Nezhat F, Nezhat C, Wellander CE, Benigno B. Four ovarian cancers diagnosed during laparoscopic management of 1011 women with adnexal masses. Am J Obstet Gynecol 1992;167:790.
Nezhat CH, Nezhat F, Nezhat C, Rottenberg H. Laparoscopic retropubic cystourethropexy. Journal of the American Asscioation of Gynecologic laparoscopists
1994;2:70.
Ou CS, Presthus J, Beadle E. Leparoscopic bladder neck suspension using hernia mesh and surgical staples J. Laparoendoscopic Surg 1993;3:563.
Peters AA, Trimbos-kemeper GC. Admiraal C, et al A. Randomized clinical trial on the benefit of adhesiolysis in patients with intraperitoneal adhesions and chronic pelvic pain. Br J Obstet Gynecol 1992;99:59.
Pittaway E, Tokacs P, Bauguess P. Laparoscopic adnexectomy : A comparison with laparotomy. Am J Obstet Gynecol 1994;171:385.
Pouly JL, Chapron C, Manhes H, et al. Multifactorial analysis of fertility after conservative laparoscopic treatment of ectopic pregnancy in a series of 223 patients. Fertil Steril 1991;56:453.
Redkin AJ, Reading AE. Chronic pelvic pain. Curr Probl Obstet Gynecol Fertil. 1991;14(4):99.
Redwine DB, Sharpe DR. Laparoscopic segmental resection ofthe sigmoidcolon for endometriosis. J Laparoendoscop Surg 1991;1:217.
Reedy MB, Galen HL, Richards WE, et al. Laparoscopy during pregnancy. A survey of laparoscopic surgeons. J Reprod Med 1997;42:33.
Reich H. Laparoscopic myomectomy. Obstet Gynecol Clin North Am. 1995;22:757.
Reich H, Garry R. Laparoscopic hysterectomy. Oxford : Blackwell publications, 1993;79.
Reich H, McGlynn F. Laparoscopic treatment of tubovarian and pelvic abscess. J Reprod Med 1987;32:747.
Reich H, Clarke HC, Sekel L. A simple method for ligating in operative laparoscopy with straight and curved needles. Obstet Gynecol. 1992;79:143.
Reich H, McGlynn F, Sekel L. Total laparoscopic hysterectomy. J Gynecol Endos 1993;2:59.
Reich H, McGlynn F, Sekel L, et al. Laparoscopic management of ovarian dermoid cysts. J Reprod Med 1992;37:640.
Reich H, Thompson KA, Nataupsky LG, et al. Laparoscopic myometomy : an alternative to laparotomy myometomy or hysterectomy. Gynaecological Endoscopy 1997;6:7.
Peiter R. A profile of women with chronic pelvic pain. Clin Obstet Gynecol 1990;33:130.
Rubin IC. Progress in myomectomy. Am J Obstet Gynecol 1942;44:196.
Schenken SR, Malinak RL. Reoperation after initial treatment of endometriosis with conservative surgery. Am J Obstet Gynecol 1978;131:416.
Stephen R, Susan R. Laparoscopic supracervical hysterectomy versus Laparoscopic assisted vaginal hysterectomy. J Am Ass Gynecol Laparo 1995;2:431.
Sjovall K, Nilsson B, Einhorm E. Different types of rupture of tumor capsule and the impact on survival in early ovarian carinoma. Int J Gynecol Cancer 1994;4:333.
Smith AR. Laparoscopic needle suspension. Bailliere`s Clin Obstet Gynecol 1995;9:757.
Steege JF, Stout AL. Resolution of chronic pelvic pain after laparoscopic lysis of adhesions. Am J Obstet Gynecol 1991;165:278.
Steiner RA, Wight E, Tadir Y, et al. Electrical cutting device for laparoscopic removal of tissue from the abdominal cavity. Obstetrics Gynecol 1993;81:471.
Stout AL, Steege JF, Dodson WC, et al. Relationship of laparoscopic findings to self-report of pelvic pain. Am J Obstet Gyencol. 1991;164:73.
Sutton CJG, Ewen SP, Whitelaw, et al. Prospective, randomized, double-blind controlled trial of laser laparoscopy in treatment of pelvic pain associated with minimal, mild, and moderate endomteriosis. Fertil Steril 1994;62:696.
Vancaillie TG, Butler DJ. Laparoscopic enterocele repair-description of a new technique. Gynecol Endosc 1993;2:211.
Vergote I, Kaern J, Abeler V, et al. Analysis of prognostic factors in stage I epithelial ovarian circinoma : Importance of degree of differentiation and deoxyribonucleic acid ploidy in predicting relapse. Am J Obstet Gynecol 1993l169:40.
Wiskind AK, Creighton SM, Starton SL. The incidence of genital prolapse after the Burch culposuspension. Am J Obstet Gynecol 1992;176:399.
Yao Myelene, Tuland1 Togas. Current status of surgical and Nonsurgical management of ectopic pregnancy. Fertil Steril 1997;67:421.
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