Fenton Bradford W, Hutchings Tim, Flora Robert F, Fanning James
Department of Obstetrics and Gynecology, Summa Health System, Akron, OH 44303-2090, USA.
J Minim Invasive Gynecol. 2006 Jul-Aug;13(4):331-3. doi: 10.1016/j.jmig.2006.04.010.
A vaginal approach to hysterectomy can become challenging when visualization is limited by poor or absent uterine descent, obesity, or other factors that make an approach to the uterine pedicles difficult. When factors occur that make application or visualization of conventional vaginal instruments difficult, using an instrument designed for laparoscopic application, with its thin, elongated shape, may permit continuation of a vaginal approach. In such a case, a Gyrus bipolar laparoscopic cutting forceps was used for coagulation and transection of the uterine pedicles during a vaginal hysterectomy. This represents a way to expand on traditional techniques for completion of difficult vaginal hysterectomy, which may be used concurrently. Surgical techniques that more easily and safely permit completion of hysterectomy by the vaginal approach can improve outcomes for all.
当子宫下降不良或未下降、肥胖或其他导致难以接近子宫蒂的因素限制视野时，经阴道子宫切除术可能会变得具有挑战性。当出现使传统阴道器械的应用或视野受限的因素时，使用专为腹腔镜应用设计的、形状细长的器械，可能有助于继续经阴道手术。在这种情况下，在经阴道子宫切除术中使用了Gyrus双极腹腔镜切割钳来凝固和切断子宫蒂。这是一种扩展传统技术以完成困难的经阴道子宫切除术的方法，可同时使用。更轻松、安全地允许通过阴道途径完成子宫切除术的手术技术可以改善所有人的手术效果。
