Wallwiener D, Bollmann D, Stolz W, Gauwerky J, Bastert G
Frauenklinik Ruprecht-Karls-Universität Heidelberg, Bundesrepublik Deutschland.
Zentralbl Gynakol. 1991;113(15-16):857-64.
Fibrin sealing has proved a successful procedure for a variety of indications in operative gynecologic laparoscopy. Ovaries can be reshaped after cystectomy, serosa and peritoneal defects as well as perforations of the uterus can be sealed with fibrin adhesive. At present, application for salpingotomy, fimbrial eversion and tubal anastomosis is being investigated in clinical studies. Yet larger collectives and a longer follow-up are necessary for a final evaluation of the method. No complications were observed in 75 laparoscopic fibrin sealing performed at our department for established indications. Fibrin adhesive can replace time-consuming, complicated endoscopic sutures. It is an atraumatic tissue-sealing and hemostatic technique, easy in handling, thus leading to a considerable reduction in operation times. The excellent hemostyptic and wound healing characteristics of fibrin adhesive are also an advantage.
纤维蛋白封闭术已被证明是一种在妇科腹腔镜手术中适用于多种指征的成功手术方法。卵巢囊肿切除术后可进行重塑，浆膜和腹膜缺损以及子宫穿孔可用纤维蛋白粘合剂封闭。目前，临床研究正在探讨其在输卵管切开术、伞端外翻和输卵管吻合术中的应用。然而，要对该方法进行最终评估，还需要更大规模的病例组和更长时间的随访。在我们科室针对既定指征进行的75例腹腔镜纤维蛋白封闭术中，未观察到并发症。纤维蛋白粘合剂可替代耗时、复杂的内镜缝合。它是一种无创伤的组织封闭和止血技术，操作简便，从而可显著缩短手术时间。纤维蛋白粘合剂出色的止血和伤口愈合特性也是一个优势。
