Dutta Dilip Kumar, Dutta Indranil
Consulting Gynaecologist, Department of Obstetrics and Gynaecology, Director, GICE Clinic , Kalyani, Nadia, West Bengal, India .
Assistant Professor, Department of Obstetrics and Gynaecology, IQ City Medical College , Durgapur, West Bengal, India .
J Clin Diagn Res. 2014 Apr;8(4):OC15-8. doi: 10.7860/JCDR/2014/7263.4307. Epub 2014 Apr 15.
The present comparative study helps in developing a new approach to conventional hysterectomy procedure so as prevent intra-operative and Post-operative complications during the procedure.
Ligation of uterine and ovarian arteries was performed, prior to abdominal hysterectomy procedures, in Group A (n-1000) and conventional method of abdominal hysterectomy in Group B (n-450) from January 2000 to December 2009. It was a prospective study.
In Group A it was noted that traumatic injury to (L) uterine vessel was present in 4 (0.4%) cases and (R) uterine vessel in 3 (0.3%) cases without any noticeable injury to the ovarian vessels, ureters or bladder as compared to in Group B where injury to (L) uterine was noted in 11 (2.4%) cases, ureters in 1 (0.1%) case, bladder in 6(1.5%) cases, hematoma in 10 (2.2%). Post-operative complications were found to be uneventful in Group A.
The Present study concludes that ligation of uterine and ovarian arteries, prior to conventional abdominal hysterectomy procedures is found to be extremely safe procedure thereby reducing the risk of intra-operative and post- operative complications.
本比较研究有助于开发一种针对传统子宫切除术的新方法，以预防手术过程中的术中及术后并发症。
2000年1月至2009年12月，A组（n = 1000）在腹部子宫切除术之前进行子宫和卵巢动脉结扎，B组（n = 450）采用传统的腹部子宫切除方法。这是一项前瞻性研究。
A组中，发现4例（0.4%）左侧子宫血管有创伤性损伤，3例（0.3%）右侧子宫血管有创伤性损伤，卵巢血管、输尿管或膀胱均无明显损伤；相比之下，B组中11例（2.4%）左侧子宫有损伤，1例（0.1%）输尿管有损伤，6例（1.5%）膀胱有损伤，10例（2.2%）有血肿。A组术后并发症情况良好。
本研究得出结论，在传统腹部子宫切除术之前结扎子宫和卵巢动脉是一种极其安全的手术，从而降低了术中及术后并发症的风险。
