Lo Keith W K, Law L W, Yip S K
Department of Obstetrics and Gynecology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong, China.
Surg Innov. 2007 Mar;14(1):24-6. doi: 10.1177/1553350606298970.
Fallopian tube prolapse is an unusual complication after hysterectomy. Different surgical options have been proposed, including abdominal, vaginal, and combined laparoscopic approaches, with partial or complete salpingectomy. This article presents experience in the management of 7 cases of fallopian tube prolapse with different surgical approaches according to the characteristics of the case. Additionally, 6 cases were reported in the English literature between 1960 and 2006 that required a second procedure after vaginal partial salpingectomy, and the causes of failure were reviewed. It is suggested that the choice between abdominal, vaginal, and combined laparoscopic approach with partial or complete salpingectomy in the management of prolapsed tubes must be decided individually, according to the patient's characteristics and the presenting symptoms. Laparoscopic surgery has a role in cases with dense intraperitoneal adhesions. It safely enables the mobilization of the prolapsed tube, allowing complete removal of the structure and resolution of symptoms.
输卵管脱垂是子宫切除术后一种罕见的并发症。人们提出了不同的手术方案，包括经腹、经阴道以及腹腔镜联合手术，可进行部分或完全输卵管切除术。本文介绍了根据病例特点采用不同手术方法处理7例输卵管脱垂的经验。此外，回顾了1960年至2006年英文文献中报道的6例经阴道部分输卵管切除术后需要二次手术的病例及其失败原因。建议在处理脱垂输卵管时，应根据患者的特点和症状表现，个体化地决定采用经腹、经阴道或腹腔镜联合手术进行部分或完全输卵管切除。腹腔镜手术在腹腔粘连严重的病例中具有重要作用。它能够安全地游离脱垂的输卵管，实现结构的完全切除并缓解症状。
