Rosenthal David M, Cheung Vincent Y T
Department of Obstetrics and Gynecology, North York General Hospital, Toronto, Ontario, Canada.
Obstet Gynecol. 2005 Apr;105(4):808-9. doi: 10.1097/01.AOG.0000141571.71513.87.
Fallopian tube prolapse is an unusual but often reported complication after hysterectomy. This problem has not yet been reported in a patient undergoing laparoscopy but not hysterectomy.
Fallopian tube prolapse was diagnosed in a patient after laparoscopic excision of pelvic endometriosis, without hysterectomy. The prolapsed fallopian tube was preserved by laparoscopic retrieval from the vagina and closure of the vaginoperitoneal fistula.
Laparoscopic surgery, when associated with the creation of a vaginoperitoneal fistula, is a risk factor for fallopian tube prolapse. This problem can be diagnosed and safely managed with a laparoscopic approach.
输卵管脱垂是子宫切除术后一种不常见但常被报道的并发症。在接受腹腔镜手术但未进行子宫切除术的患者中，尚未有此问题的报道。
一名患者在腹腔镜下切除盆腔子宫内膜异位症后被诊断为输卵管脱垂，该患者未行子宫切除术。通过腹腔镜从阴道取出脱垂的输卵管并封闭阴道腹膜瘘，从而保留了脱垂的输卵管。
腹腔镜手术若伴有阴道腹膜瘘的形成，是输卵管脱垂的一个危险因素。这个问题可以通过腹腔镜方法进行诊断和安全处理。
