Salcedo Felix Lugo
Unidad de Uroginecología y Disfunsión de Suelo Pélvico DIATROS, Barcelona, Spain.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1009-12. doi: 10.1007/s00192-009-0911-0. Epub 2009 Jun 3.
Traditionally, vaginal hysterectomy (VH) has been limited to cases of uterine prolapse, despite the fact that vast worldwide literature has demonstrated its applicability in other common benign diseases, such as uterine fibromatosis and abnormal uterine bleeding, with excellent outcomes.
Such outstanding results have made this procedure one of the most useful and advantageous alternatives when compared to the abdominal and laparoscopic routes.
Currently, VH (an ancient procedure) does not represent a first-line alternative.
Therefore, the main goal of this paper is to describe some of the advantages of the vaginal route in order to help vaginal surgery schools to re-establish the leading role of this approach as a part of the minimally invasive gynecological surgery trend.
传统上,经阴道子宫切除术(VH)仅限于子宫脱垂病例,尽管全球大量文献已证明其在其他常见良性疾病中的适用性,如子宫纤维瘤病和子宫异常出血,且效果极佳。
与经腹和腹腔镜手术途径相比,如此出色的结果使该手术成为最有用且有利的选择之一。
目前,经阴道子宫切除术(一种古老的手术)并非一线选择。
因此,本文的主要目的是描述经阴道手术途径的一些优势,以帮助阴道手术培训学校重新确立这种方法作为微创妇科手术趋势一部分的主导地位。