Abstract:
INTRODUCTION:Uncontrollable hemorrhage during cytoreductive surgery for advanced carcinoma ovary is a major cause of peri-operative mortality. This case series presents a novel technique of "combined intra pelvic and intra-abdominal packing," a life saving approach for such situations. MATERIALS AND METHODS:This case series describes the retrospectively analyzed outcome of 16 non-consecutive patients with advanced epithelial ovarian cancer who underwent this 'packing' procedure in view of diffuse oozing and deteriorating patient condition. Three to six povidone-iodine soaked roller gauges were used and removal was done through exit sites on abdomen, 48 h after packing at bedside in 14 cases. 43 patients of carcinoma ovary who underwent debulking surgery during the same period but did not need packing were analyzed to compare underlying patient- and disease-related factors and complication rates. RESULTS:Operative mortality due to excessive primary hemorrhage was avoided in 14 out of 16 packed patients (87.5%). There was no notable increase in morbidity in cases compared with controls. CONCLUSION:Post-operative complication rates were more or less acceptable. This method can achieve acceptable survival rates in patients with advanced ovarian malignancy having severe primary hemorrhage.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Kumar S,Sharma JB,Karmakar D,Roy KK,Singh Ndoi
10.1007/s00404-011-2101-9subject
Has Abstractpub_date
2012-04-01 00:00:00pages
1125-32issue
4eissn
0932-0067issn
1432-0711journal_volume
285pub_type
杂志文章abstract:PURPOSE:To compare the operative data and early postoperative outcomes of total laparoscopic hysterectomy (TLH), laparoscopically assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy (VH). METHODS:One hundred and eight women requiring hysterectomy for enlarged myomatous uterus were randomly allocated into thr...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00404-014-3228-2
更新日期:2014-09-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,多中心研究
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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pub_type: 杂志文章,随机对照试验
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
pub_type: 传,历史文章,杂志文章
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,meta分析,评审
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,meta分析
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2020-09-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:1989-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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更新日期:2017-03-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,随机对照试验
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更新日期:2009-12-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-008-0770-9
更新日期:2009-04-01 00:00:00