当院の全腹腔鏡下子宮全摘術後の追跡期間と退院後の合併症に関する検討

抄録

Total laparoscopic hysterectomy (TLH) is associated with a higher frequency of ureteral injury and vaginal cuff dehiscence than abdominal total hysterectomy. The follow-up period after TLH varies by institution and attending physician. We conducted a retrospective study based on medical records to determine whether complications occurred during or after the follow-up period of TLH performed for benign diseases at our hospital. The subjects were 304 patients who underwent TLH for benign indications at our hospital from 2017 to 2021. The median follow-up period was 180 (range 80-298) days. There were no cases of ureteral injury. Vaginal cuff dehiscence occurred in three patients (1.0%), and all three required revision transvaginal surgery. The onset of vaginal cuff dehiscence was less than one month in two cases and six months postoperatively in one case. Four patients visited the department between the end of the consultation and one year and six months postoperatively, and only one (0.3%) required treatment for a hypertrophic scar in the umbilical region. The median follow-up period for TLH with good progress at our hospital was six months. We followed the medical record of each case from the end of the consultation to one year and six months postoperatively, and found that no complications requiring early intervention had occurred.