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Is there constipation after hysterectomy? Clinical and manometric evaluation
[摘要]

Hysterectomyis the most common gynecologic surgical procedure of great bearing being the majorityof the indications due to being disease. Among the complications of this surgicalprocedure are constipation, dyspareunia, gas and feces incontinence, evacuatoryurgency, fecal escapes and abdominal distension. Constipation has been frequentlyfound after a hysterectomy, especially in retrospective studies. Objective: Studythe incidence of constipation after hysterectomy and the manometrical alterationsrelated to them. Methods: Prospective study in nine patients subjected to totalabdominal hysterectomy due to myoma. A manometrical study and application of theconstipation score adopted by "Sociedade Brasileira de Motilidade Digestiva" wasperformed in the pre and sixty days of post-operative. Results: The autors foundpresence of incomplete evacuation that did not occur in the pre-operative. Manometricalalterations were found and two of the patients presented abdominal pain to therectal ampule distension in the tolerable maximum volume checking. Conclusions:The findings of this study suggest that intestinal alterations occur after hysterectomyand are specially related to the rectum.

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[效力级别]  [学科分类] 心脏病和心血管学
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