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Laparoscopic removal of retained surgical gauze after vaginal hysterectomy
P M Yuen1, M S Rogers, A M Chang
1Department of Obstetrics and Gynecology, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, N.T.
Surgical gauze was retained intraabdominally in a woman who had undergone a vaginal hysterectomy with anterior colporrhaphy. Laparoscopic removal was successfully performed with minimal risk or trauma to the patient. The integrity of the vaginal vault support was maintained and the need for a laparotomy avoided. The use of laparoscopy in vaginal hysterectomy should be considered as this offers the chance to assess the pelvis pre- and post-operatively and to remove the ovaries, where indicated.
Surgical gauze was retained intraabdominally in a woman who had undergone a vaginal hysterectomy with anterior colporrhaphy. Laparoscopic removal was successfully performed with minimal risk or trauma to the patient. The integrity of the vaginal vault support was maintained and the need for a laparotomy avoided. The use of laparoscopy in vaginal hysterectomy should be considered as this offers the chance to assess the pelvis pre- and post-operatively and to remove the ovaries, where indicated.