Modi Rajesh
Akola Endoscopy Centre, Akola, Maharashtra, India.
J Gynecol Endosc Surg. 2011 Jan;2(1):47-52. doi: 10.4103/0974-1216.85283.
The objective of this study was to evaluate the efficacy of aquadissection technique to reduce the blood loss in myomectomy and to assess the benefits and feasibility of the use of barbed suture for myometrial defect closure. Vasopressin is diluted with saline as 10 units of vasopressin for every 100 ml of saline. For a fibroid of about 8 cm size, 40 units of vasopressin is diluted in 400 ml of normal saline. The whole of 400 ml of this saline is injected in the myometrium. Incision is made on the uterus with just simple scissors (no energy source is required). As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection.
本研究的目的是评估水分离技术在子宫肌瘤切除术中减少失血的效果，并评估使用倒刺缝线闭合子宫肌层缺损的益处和可行性。血管加压素用生理盐水稀释，每100毫升生理盐水含10单位血管加压素。对于约8厘米大小的肌瘤，40单位血管加压素稀释于400毫升生理盐水中。将这400毫升生理盐水全部注入子宫肌层。仅用普通剪刀在子宫上做切口（无需能量源）。当子宫被切开时，流出的不是血液，而是生理盐水。这有助于保持术野清晰，更容易在肌瘤和子宫肌层之间找到正确的层面。通过注入生理盐水分离出正确的层面，有助于肌瘤的分离。
