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Article: Left upper quadrant approach in gynecologic laparoscopic surgery

TitleLeft upper quadrant approach in gynecologic laparoscopic surgery
Authors
KeywordsLaparoscopy
neoplastic
pneumoperitoneum
pregnancy complications
surgical procedures - minimally invasive
tissue adhesions
Issue Date2011
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412
Citation
Acta Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 12, p. 1406-1409 How to Cite?
Abstract
Objective. To review the use of the left upper quadrant approach in benign gynecologic laparoscopic surgery over a nine-year period. Design. Retrospective review. Setting. University-affiliated hospital. Population. Women who underwent laparoscopic gynecologic surgery the upper quadrant approach between January 2002 and December 2010. Methods. Medical records were reviewed. Main outcome measures. Demographic data, past surgical histories, indications for surgery and the use of the left upper quadrant approach, intraoperative findings, diagnosis and any complications. Results. 143 patients were identified, accounting for 4.9% of all gynecologic laparoscopic surgery. The indications for using the left upper quadrant approach were: previous open abdominal surgery (113, 79.0%), surgery in the second trimester of pregnancy (16, 11.1%), presence of large pelvic mass (9, 6.2%), previous transverse rectus abdominis myocutaneous flap for breast reconstruction (3, 2.0%), previous periumbilical hernia repair (1, 0.6%) and previous laparoscopic umbilical wound dehiscence (1, 0.6%). In women with previous abdominal surgery, the overall incidence of adhesions between omentum and/or bowel to the anterior abdominal wall in the umbilical region was 58.4%. Twelve (8.3%) patients required conversion to laparotomy. One patient had subcutaneous surgical emphysema over the left upper quadrant entry site. Conclusions. The left upper quadrant approach is an effective, safe and easy technique for peritoneal cavity access in women undergoing laparoscopic gynecologic surgery and should be considered in women with risk factors of periumbilical adhesions and in the presence of a large pelvic mass. © 2011 Nordic Federation of Societies of Obstetrics and Gynecology.
Persistent Identifierhttp://hdl.handle.net/10722/139902
ISSN
2013 Impact Factor: 1.985
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNgu, SFen_HK
dc.contributor.authorCheung, VYTen_HK
dc.contributor.authorPun, TCen_HK
dc.date.accessioned2011-09-23T05:59:54Z-
dc.date.available2011-09-23T05:59:54Z-
dc.date.issued2011en_HK
dc.identifier.citationActa Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 12, p. 1406-1409en_HK
dc.identifier.issn0001-6349en_HK
dc.identifier.urihttp://hdl.handle.net/10722/139902-
dc.description.abstractObjective. To review the use of the left upper quadrant approach in benign gynecologic laparoscopic surgery over a nine-year period. Design. Retrospective review. Setting. University-affiliated hospital. Population. Women who underwent laparoscopic gynecologic surgery the upper quadrant approach between January 2002 and December 2010. Methods. Medical records were reviewed. Main outcome measures. Demographic data, past surgical histories, indications for surgery and the use of the left upper quadrant approach, intraoperative findings, diagnosis and any complications. Results. 143 patients were identified, accounting for 4.9% of all gynecologic laparoscopic surgery. The indications for using the left upper quadrant approach were: previous open abdominal surgery (113, 79.0%), surgery in the second trimester of pregnancy (16, 11.1%), presence of large pelvic mass (9, 6.2%), previous transverse rectus abdominis myocutaneous flap for breast reconstruction (3, 2.0%), previous periumbilical hernia repair (1, 0.6%) and previous laparoscopic umbilical wound dehiscence (1, 0.6%). In women with previous abdominal surgery, the overall incidence of adhesions between omentum and/or bowel to the anterior abdominal wall in the umbilical region was 58.4%. Twelve (8.3%) patients required conversion to laparotomy. One patient had subcutaneous surgical emphysema over the left upper quadrant entry site. Conclusions. The left upper quadrant approach is an effective, safe and easy technique for peritoneal cavity access in women undergoing laparoscopic gynecologic surgery and should be considered in women with risk factors of periumbilical adhesions and in the presence of a large pelvic mass. © 2011 Nordic Federation of Societies of Obstetrics and Gynecology.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412en_HK
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavicaen_HK
dc.subjectLaparoscopyen_HK
dc.subjectneoplasticen_HK
dc.subjectpneumoperitoneumen_HK
dc.subjectpregnancy complicationsen_HK
dc.subjectsurgical procedures - minimally invasiveen_HK
dc.subjecttissue adhesionsen_HK
dc.titleLeft upper quadrant approach in gynecologic laparoscopic surgeryen_HK
dc.typeArticleen_HK
dc.identifier.emailNgu, SF:ngusiewf@hku.hken_HK
dc.identifier.emailCheung, VYT:vytc@hku.hken_HK
dc.identifier.authorityNgu, SF=rp01367en_HK
dc.identifier.authorityCheung, VYT=rp01323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1600-0412.2011.01257.xen_HK
dc.identifier.pmid21854368en_HK
dc.identifier.scopuseid_2-s2.0-81355129111en_HK
dc.identifier.hkuros195980en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-81355129111&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume90en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1406en_HK
dc.identifier.epage1409en_HK
dc.identifier.eissn1600-0412-
dc.identifier.isiWOS:000297054800017-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridNgu, SF=36872693100en_HK
dc.identifier.scopusauthoridCheung, VYT=7005439023en_HK
dc.identifier.scopusauthoridPun, TC=7005509306en_HK

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