Analgesic Effect of Nalbuphine Combined with Sufentanil After Laparoscopic Hysterectomy

Pre-emptive effect of epidural sufentanil in abdominal hysterectomy.

BACKGROUND Experimental studies suggest pre-emptive administration of analgesics is effective but clinical evidence is less convincing. METHODS Forty-one patients undergoing abdominal hysterectomy were allocated randomly in a double-blind fashion to receive sufentanil 50 micrograms via a lumbar epidural catheter before or at the end of surgery. RESULTS Sufentanil consumption from a patient-...

Laparoscopic hysterectomy in benign gynaecological conditions Outcomes after total laparoscopic hysterectomy and laparoscopic supracervical hysterectomy, a comparison of surgical procedures

Pneumoperitoneum 48 Days After Laparoscopic Hysterectomy

BACKGROUND AND OBJECTIVES Postoperative pneumoperitoneum following laparoscopic surgery is self-limited, typically resolving within days. METHODS We analyzed the case of a 48-y-old woman who presented with acute abdominal pain 48 d after a total laparoscopic hysterectomy. Imaging studies revealed free air under the diaphragm suggesting a perforated viscus. RESULTS An exploratory laparotomy ...

Laparoscopic Ureteroneocystostomy for Ureteral Injuries After Hysterectomy

OBJECTIVES To examine the feasibility of early laparoscopic ureteroneocystostomy for ureteral obstruction due to hysterectomy injury. METHODS We retrospectively reviewed a 10-y experience from 2 institutions in patients who underwent early (<30 d) or late (>30 d) laparoscopic ureteroneocystostomy for ureteral injury after hysterectomy. Evaluation of the surgery included the cause of the stric...

Secondary Hemorrhage After Total Laparoscopic Hysterectomy

BACKGROUND AND OBJECTIVES The purpose of this study is to estimate the cumulative incidence, patient characteristics, and potential risk factors for secondary hemorrhage after total laparoscopic hysterectomy. METHODS All women who underwent total laparoscopic hysterectomy at Paul's Hospital between January 2004 and April 2012 were included in the study. Patients who had bleeding per vaginam b...