Yilmaztürk A, Soyaslan-Strazenbach M, Schlüter W
Gynäkologisch-Geburtshilfliche Abteilung, Kreiskrankenhauses Dannenberg.
Zentralbl Gynakol. 1990;112(13):827-33.
This retrospective study covers a period of 10 years (1977-1986) during which a vaginal hysterectomy with or without colporrhaphy was carried out in 431 women. In 317 patients the skin at the end of the vaginal stump was closed primarily, whereas it was left open in 114 patients. Comparing both groups less morbidity-, secretion-, infection- and bleeding-rates can be found in the group with primary closure of the vaginal stump. The healing of the operative wound is much better when closed primarily. Fear of entrapped secretions or formation of abscess or hematoma is not justified.
这项回顾性研究涵盖了10年的时间（1977 - 1986年），在此期间，对431名女性实施了阴道子宫切除术，其中部分患者还进行了阴道壁修补术。317例患者的阴道残端皮肤进行了一期缝合，而114例患者的阴道残端皮肤未缝合。比较两组发现，阴道残端一期缝合组的发病率、分泌物、感染和出血率更低。一期缝合时手术伤口的愈合情况要好得多。担心有分泌物残留或形成脓肿或血肿是没有道理的。
