Tews G, Bohaumilitzky T, Arzt W, Janach A, Fröhlich H
Landesfrauenklinik A-Linz.
Geburtshilfe Frauenheilkd. 1991 Apr;51(4):304-6. doi: 10.1055/s-2008-1026316.
Laparoscopy is one of the most frequent interventions used in operative gynaecology. Because of the possible, occasionally grave complications through the use of the trocar forms applied so far, we have developed a new blunt trocar. By using this trocar throughout 1889 interventions, we have had no complications which could be ascribed to the use of this blunt instrument. The advantage of this trocar lies in the avoidance of the possible and feared injuries to the intestines and vessels. Even though overall complication rates in laparoscopy are low and there is no evidence of a statistically significant reduction compared with the use of the sharp trocar, the advantages of the blunt trocar are obvious. There is only one disadvantage, namely the slightly prolonged training time of the younger colleagues, as well as the theoretical possibility of a prolapse of the omentum. Nevertheless, in our opinion, the use of the blunt trocar is advisable to reduce the complication rate in laparoscopy.
腹腔镜检查是妇科手术中最常用的干预措施之一。由于迄今为止使用的套管针形式可能会引发一些偶尔较为严重的并发症，我们研发了一种新型钝头套管针。在1889例手术中使用这种套管针，未出现任何可归因于使用这种钝头器械的并发症。这种套管针的优势在于避免了可能发生且令人担忧的肠道和血管损伤。尽管腹腔镜检查的总体并发症发生率较低，且与使用锐性套管针相比，没有统计学上显著降低的证据，但钝头套管针的优势显而易见。它只有一个缺点，即年轻同事的培训时间会稍有延长，以及存在大网膜脱垂的理论可能性。然而，我们认为，使用钝头套管针有助于降低腹腔镜检查的并发症发生率。
