Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Minagawa, Mari; Etoh, Miho; Masuda, Masao; Kurihara, Koki; Fukuyama, Mari; Yamamoto, Atsushi; Katoh, Seiko; Fujita, Hiroyuki

doi:10.1016/j.gmit.2017.06.005

Cited by 2 publications

(1 citation statement)

References 13 publications

(15 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfractionated heparin (UFH) or low molecular weight heparin (LMWH) was initiated in 70% of the cases and subsequently bridging to vitamin K antagonists (VKAs) in 40%. 4,7,9,10,12,14,17,19,21,[23][24][25][26][27][28]30,34,36,39,[42][43][44][45][46]48,51,55,59,60,64,65,67,73,74,79,82,89,91,96,98,99,102,105,106,109,115,118,120,121,122,129,…”

Section: Diagnosis (Table 2)mentioning

confidence: 99%

Ovarian Vein Thrombosis

Kanellopoulou¹

2022

HJOG

View full text Add to dashboard Cite

Ovarian vein thrombosis (OVT) is a rare type of venous thromboembolism most common diagnosed in the postpartum period and peaking around 2-6 days after delivery. Clinical symptoms are not specific including fever and abdominal pain and the right ovarian vein is more frequently involved (70-80% of cases). The diagnosis of OVT is a clinical challenge because there are multiple other conditions that can present similarly, including ovarian torsion, tubo-ovarian abscess, pelvic inflammatory disease, puerperal endometritis, appendicitis, inflammatory bowel disease and pyelonephritis. Ultrasound Doppler is the first-line imaging; however, most cases are confirmed with computed tomography or magnetic resonance imaging. Mortality related to ovarian vein thrombosis is low due to the combination treatment of broad-spectrum antibiotics and anticoagulation. Extension of thrombus to inferior vena cava or renal veins and rarely pulmonary embolism could also occur. OVT is actually a type of deep vein thrombosis that could be life-threatening however mortality is low due to the combination treatment of broad-spectrum antibiotics and anticoagulation. Anticoagulant treatment duration of 3 to 6 months has been recommended like typical cases of venous thromboembolism.

show abstract

Section: Diagnosis (Table 2)mentioning

confidence: 99%

Ovarian Vein Thrombosis

Kanellopoulou¹

2022

HJOG

View full text Add to dashboard Cite

show abstract

A retrospective study of 323 total laparoscopic hysterectomy cases for various indications and a case report treating caesarean scar pregnancy

et al. 2020

View full text Add to dashboard Cite

Background The application of laparoscopic surgeries has been increasing, and various uterine diseases in addition to leiomyoma/adenomyoma have become indications for total laparoscopic hysterectomy (TLH). Therefore, data acquisition and analysis of TLH procedures, including TLH for rare uterine diseases, have become important for improving surgical procedures and patient selection. To determine the prevalence of and risk factors for the occurrence of intraoperative and postoperative complications of TLH, we performed a multivariate analysis of the records in our hospital. Methods We retrospectively reviewed the medical records of 323 patients who underwent TLH for the treatment of leiomyoma/adenomyoma (278 cases), low-grade (pre)malignant uterine tumours (40 cases) and other rare uterine diseases (5 cases) from January 1, 2015, to December 31, 2019. Of the rare uterine diseases, one case of caesarean scar pregnancy for which TLH was performed is introduced as a case report. To assess the effects of 11 representative factors, including patient characteristics, uterus and leiomyoma sizes, indications for TLH and others, we performed a multivariate logistic regression analysis. Results Among the 323 cases, 20 intraoperative complications and 15 postoperative complications were reported. In the multivariate analysis, “ovarian tumour” and “heavy uterus” were positively associated and “nulliparity” was negatively associated with intraoperative complications. There were no significant risk factors for postoperative complications. The only risk factor for operative complications directly related to the resected uterus was “heavy uterus”. Therefore, we could perform TLH relatively safely for patients with other indications besides leiomyoma/adenomyoma. Conclusions Considering the factors detected in this analysis, the indications for TLH may be expanded. Owing to the increase in TLH for indications other than leiomyoma/adenomyoma, a more accurate determination of the treatment approach can be achieved.

show abstract

Transient elevations of liver enzymes and ovarian vein thrombosis arising after total laparoscopic hysterectomy

Cited by 2 publications

References 13 publications

Ovarian Vein Thrombosis

Ovarian Vein Thrombosis

A retrospective study of 323 total laparoscopic hysterectomy cases for various indications and a case report treating caesarean scar pregnancy

Contact Info

Product

Resources

About