Moen Michael D, Noone Michael B, Elser Denise M
Illinois Urogynecology Ltd., 1875 Dempster St., Park Ridge, IL 60068, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Sep;19(9):1189-92. doi: 10.1007/s00192-008-0659-y. Epub 2008 Jun 11.
Minimally invasive surgery (MIS) such as natural orifice surgery is perceived as a relatively recent development partly because many MIS techniques utilize new technology and devices. However, a natural orifice/MIS approach for hysterectomy (vaginal hysterectomy, VH) has existed for over a century. VH is typically thought of in the realm of the urogynecologist as a component of reconstructive pelvic surgery for pelvic organ prolapse. However, current evidence supports the use of VH in women with other benign conditions such as uterine fibroids and abnormal bleeding. Despite the evidence and availability of several MIS options for hysterectomy, the majority of hysterectomies continue to be performed via laparotomy. VH is the least invasive approach to hysterectomy, and its use should be encouraged as the preferred MIS option for women requiring uterine removal for benign conditions.
诸如经自然腔道手术等微创手术（MIS）被视为一项相对较新的进展，部分原因在于许多MIS技术采用了新技术和设备。然而，用于子宫切除术的经自然腔道/MIS方法（阴道子宫切除术，VH）已经存在了一个多世纪。在泌尿妇科领域，VH通常被视为盆腔器官脱垂重建性盆腔手术的一个组成部分。然而，目前的证据支持在患有其他良性疾病（如子宫肌瘤和异常出血）的女性中使用VH。尽管有证据表明有几种用于子宫切除术的MIS选择且这些选择也可获得，但大多数子宫切除术仍通过剖腹手术进行。VH是子宫切除术侵入性最小的方法，对于因良性疾病需要切除子宫的女性，应鼓励将其作为首选的MIS选择。
