Oh Soohyun, Chon Seung Joo, Lee Seung Ho, Shin Jin Woo
Department of Obstetrics and Gynecology, Gil Medical Center, College of Medicine, Gachon University, Incheon, Korea.
Obstet Gynecol Sci. 2022 Sep;65(5):477-482. doi: 10.5468/ogs.22083. Epub 2022 Jul 29.
Infected pelvic hematoma is a serious complication of hysterectomies. Pelvic drainage can help reduce complications. In this study, we evaluated the efficacy and safety of vaginal vault drainage in patients who underwent laparoscopic hysterectomy for benign gynecological diseases.
Patients who underwent laparoscopic hysterectomy and pelvic drain insertion for benign gynecological diseases between January 2008 and December 2015 were enrolled retrospectively in the study. They were grouped according to drain insertion sites, that is, through the abdomen (group 1) and vaginal vault (group 2). The postoperative outcomes were compared between the two groups.
A total of 504 women were included. No significant differences were observed in the prevalence of postoperative fever, readmission, and reoperation between the two groups.
Given the discomfort associated with holding and removing the abdominal drain, inserting a closed pelvic gravity drain through the vaginal vault appears to be a feasible alternative to an abdominal drain.
感染性盆腔血肿是子宫切除术的严重并发症。盆腔引流有助于减少并发症。在本研究中，我们评估了阴道穹窿引流在因良性妇科疾病接受腹腔镜子宫切除术患者中的有效性和安全性。
回顾性纳入2008年1月至2015年12月期间因良性妇科疾病接受腹腔镜子宫切除术并插入盆腔引流管的患者。根据引流管插入部位进行分组，即经腹部（第1组）和阴道穹窿（第2组）。比较两组的术后结局。
共纳入504名女性。两组在术后发热、再次入院和再次手术的发生率方面未观察到显著差异。
鉴于保留和拔除腹腔引流管会带来不适，经阴道穹窿插入封闭式盆腔重力引流管似乎是腹腔引流管的一种可行替代方案。
