Risk Factors Associated with Perineal and Vaginal Lacerations and Vaginal Removal in Total Laparoscopic Hysterectomy.

ABSTRACT:

Objectives

This study aimed to identify risk factors associated with perineal and vaginal lacerations related to vaginal removal during total laparoscopic hysterectomy (TLH).

Materials and methods

We retrospectively assessed 134 patients who underwent TLH, of whom 44 (32.8%) had vaginal lacerations.

Results

Univariate analysis revealed that for patients with myomas and adenomyosis, gonadotropin-releasing hormone agonist use and myomas with a transverse diameter of ≥5 cm were significant risk factors, while multiparity (vaginal delivery) was a protective factor for perineal and vaginal lacerations. Moreover, multivariate analysis indicated that multiparity was the only statistically significant protective factor. For cervical intraepithelial neoplasia, endometrial canc

SUBMITTER: Chikazawa K 

PROVIDER: S-EPMC9491053 | biostudies-literature | 2022 Jul-Sep

REPOSITORIES: biostudies-literature