Maciejczyk-Pencuła Monika, Szymczyk Grzegorz, Kotarski Jan
I Katedry i Kliniki Ginekologii Operacyjnej Akademii Medycznej w Lublinie.
Wiad Lek. 2003;56(3-4):136-9.
Dynamic development in modern medicine permanently brings the modifications of operation techniques. Both closure and non-closure of the peritoneum after gynecologic operations has been discussed recently. According to clinical observations provided by many authors, the controversial problem of non-closure of the peritoneum is still under discussion. Thus we decided to assess the influence of closing or non-closing of the peritoneum on short-term postoperative morbidity. The patients operated because of uterine myomae were the participants of our study. Total abdominal hysterectomy with suturing or non-closing of visceral and parietal peritoneum was performed. Our study revealed that non-closing of the peritoneum did not increase the amount of postoperative complications and it seemed to be a safe procedure.
现代医学的动态发展不断带来手术技术的改进。近期，妇科手术后腹膜是否缝合一直是讨论的话题。根据众多作者提供的临床观察，腹膜不缝合这一存在争议的问题仍在讨论中。因此，我们决定评估腹膜缝合或不缝合对术后短期发病率的影响。因子宫肌瘤接受手术的患者参与了我们的研究。我们对患者实施了全腹子宫切除术，术中对脏腹膜和壁腹膜进行了缝合或未缝合处理。我们的研究表明，不缝合腹膜不会增加术后并发症的数量，似乎是一种安全的手术方式。
