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Article: Left upper quadrant approach in gynecologic laparoscopic surgery
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TitleLeft upper quadrant approach in gynecologic laparoscopic surgery
 
AuthorsNgu, SF1
Cheung, VYT1
Pun, TC1
 
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
 
CitationActa Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 12, p. 1406-1409 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0412.2011.01257.x
 
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.
 
ISSN0001-6349
2013 Impact Factor: 1.985
 
DOIhttp://dx.doi.org/10.1111/j.1600-0412.2011.01257.x
 
ISI Accession Number IDWOS:000297054800017
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorNgu, SF
 
dc.contributor.authorCheung, VYT
 
dc.contributor.authorPun, TC
 
dc.date.accessioned2011-09-23T05:59:54Z
 
dc.date.available2011-09-23T05:59:54Z
 
dc.date.issued2011
 
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.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationActa Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 12, p. 1406-1409 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0412.2011.01257.x
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-0412.2011.01257.x
 
dc.identifier.eissn1600-0412
 
dc.identifier.epage1409
 
dc.identifier.hkuros195980
 
dc.identifier.isiWOS:000297054800017
 
dc.identifier.issn0001-6349
2013 Impact Factor: 1.985
 
dc.identifier.issue12
 
dc.identifier.pmid21854368
 
dc.identifier.scopuseid_2-s2.0-81355129111
 
dc.identifier.spage1406
 
dc.identifier.urihttp://hdl.handle.net/10722/139902
 
dc.identifier.volume90
 
dc.languageeng
 
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412
 
dc.publisher.placeUnited Kingdom
 
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavica
 
dc.relation.referencesReferences in Scopus
 
dc.subjectLaparoscopy
 
dc.subjectneoplastic
 
dc.subjectpneumoperitoneum
 
dc.subjectpregnancy complications
 
dc.subjectsurgical procedures - minimally invasive
 
dc.subjecttissue adhesions
 
dc.titleLeft upper quadrant approach in gynecologic laparoscopic surgery
 
dc.typeArticle
 
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Author Affiliations
  1. The University of Hong Kong