Walid M Sami, Heaton Richard L
Medical Center of Central Georgia, Macon, GA 31201, USA.
Ger Med Sci. 2010 Feb 10;8:Doc03. doi: 10.3205/000092.
Endometriosis may in severe cases lead to obliteration of the anterior and/or posterior cul-de-sacs in the female pelvis. The anterior cul-de-sac is generally less commonly affected. This type of cases usually presents a challenge for the operating surgeon, whether via open route or through laparoscopy. In this paper, we present an illustrative case and explain our technique for dealing with a scarred and totally obliterated anterior cul-de-sac because of endometriosis during total laparoscopic hysterectomy.
子宫内膜异位症在严重情况下可能导致女性盆腔内前、后陷凹闭塞。前陷凹通常较少受到影响。这类病例无论对于开放手术还是腹腔镜手术的外科医生来说，通常都是一项挑战。在本文中，我们展示一个典型病例，并阐述在全腹腔镜子宫切除术中处理因子宫内膜异位症导致瘢痕形成且完全闭塞的前陷凹的技术。
