Occhino John A, Gebhart John B
Division of Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Clin Obstet Gynecol. 2010 Mar;53(1):40-50. doi: 10.1097/GRF.0b013e3181ce8945.
A difficult vaginal hysterectomy can challenge the most accomplished pelvic surgeon. Large uterine size or prior pelvic surgery is commonly thought to make a vaginal hysterectomy more difficult, but more common issues such as large body habitus or extensive prolapse may make performing a vaginal hysterectomy even more technically challenging. The knowledge and expertise needed to perform a routine vaginal hysterectomy are prerequisites for managing more difficult cases. As techniques in pelvic surgery continue to evolve, it is critical that this minimally invasive procedure continue to be taught and performed.
困难的经阴道子宫切除术会给最有经验的盆腔外科医生带来挑战。子宫体积大或既往盆腔手术通常被认为会使经阴道子宫切除术更加困难，但更常见的问题，如体型肥胖或广泛脱垂，可能会使经阴道子宫切除术在技术上更具挑战性。进行常规经阴道子宫切除术所需的知识和专业技能是处理更困难病例的先决条件。随着盆腔外科技术不断发展，至关重要的是，这种微创手术仍要继续传授和开展。
