Gray L A
Obstet Gynecol. 1975 Jul;46(1):42-6. doi: 10.1097/00006250-197507000-00007.
An open cuff technic was employed in 2421 consecutive patients with total abdominal hysterectomy. Extraperitoneal drainage was purpose of the method. The two most serious complications were postoperative hemorrhage (7 cases, 0.28 percent) and intestinal obstruction (6 cases, 0.24 percent). The morbidity rate was 20.8 percent. Of those without colporrhaphy (two-thirds), the morbidity rate was 18.2 percent. Prophylactic antibiotics were not used in the latter group. In no instance was a pelvic abscess or cluff abscess recognized. Death occurred in 1 case (0.041 percent). This method may diminish the occurrence of apical infections above a closed vagina by allowing immediate extraperitoneal drainage. Postoperative bleeding and intestinal obstruction, along with other rare conditions, continue to represent occasional but severe complicantions.
对连续2421例行全腹子宫切除术的患者采用开放式套管技术。该方法的目的是进行腹膜外引流。两种最严重的并发症是术后出血（7例，0.28%）和肠梗阻（6例，0.24%）。发病率为20.8%。在未行阴道缝合术的患者中（三分之二），发病率为18.2%。后一组未使用预防性抗生素。未发现一例盆腔脓肿或套管脓肿。1例死亡（0.041%）。该方法可通过立即进行腹膜外引流减少封闭阴道上方顶端感染的发生。术后出血和肠梗阻，以及其他罕见情况，仍然是偶尔出现但严重的并发症。
