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V D Harris

Publications and source records attributed to V D Harris.

7 recordsLinked to original sources
PubMed1995

Ureteral injury in gynecologic surgery: a ten-year review in a community hospital.

OBJECTIVE: Our purpose was to review and analyze ureteral injuries incidental to gynecologic surgery in a community hospital. STUDY DESIGN: During the study period from Jan. 1, 1983, through Dec. 31, 1992, all patient records in which ureteral injury resulted from gynecologic surgery were reviewed. The operative procedure, pathologic result, location of injury, and type of repair were studied. Additionally, the time of recognition and diagnostic methods in these ureteral injuries were analyzed. RESULTS: Nineteen ureteral injuries were incurred during the performance of 4665 gynecologic surgical procedures, an incidence of 0.4%. Patients ranged in age from 23 to 70 years. Recognition of the ureteral injury occurred intraoperatively in 10 patients and was delayed from 1 to 16 days in 9 patients. Six of the ureteral injuries were repaired by end-to-end anastomosis, 3 by deligation, and 10 by ureteroneocystostomy. Immediate postoperative urinary integrity was found in all patients. CONCLUSION: Gynecologic surgical procedures in this study resulted in a 0.4% incidence of ureteral injury, and repair of these injuries was successful in all cases for the short term.

Adult↗
PubMed1993

The outpatient vaginal hysterectomy.

OBJECTIVE: The purpose of our study is to report on our initial experience with the performance of vaginal hysterectomy on an outpatient basis. STUDY DESIGN: Between January 1990 and February 1992 10 patients underwent vaginal hysterectomies in a freestanding outpatient surgery center. All patients were discharged the same day within 8 hours of the starting time of surgery. Patients ranged in age from 32 to 52 years and had no major medical problems. Concomitant salpingo-oophorectomies, enterocele repairs, or both were also performed on 8 of the 10 patients. RESULTS: All patients had benign diseases, and the uteri weighed between 75 and 142 gm. There were no intraoperative complications, and 9 of the 10 patients had an uneventful postoperative course. Although postoperative pain control was not a problem, there was some degree of postoperative nausea during the first 24 hours associated with the use of various oral and transcutaneous analgesics. Nonetheless, all 10 patients were pleased with their surgical experience. CONCLUSION: This small pilot study adds to the growing body of literature that demonstrates the safety and feasibility of performing vaginal hysterectomy (together with certain concomitant procedures) in an outpatient setting.

Adult↗