Hong Mun-Kun, Chu Tang-Yuan, Ding Dah-Ching
Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, ROC; Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan, ROC.
Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, ROC; Institute of Medical Sciences, Tzu Chi University, Hualien, Taiwan, ROC.
Taiwan J Obstet Gynecol. 2016 Jun;55(3):423-6. doi: 10.1016/j.tjog.2016.04.019.
To proposed a novel method for a difficult laparoscopic hysterectomy that spares the cervical ligaments and eliminates the cervical canal and transformation zone of the cervix.
A 40-year-old women, gravida 3 para 3, who had had a cesarean delivery previously, was referred to the gynecology clinic due to adenomyosis with menorrhagia and severe anemia. Ultrasonography showed that the uterus was enlarged to 13.5 cm × 10.7 cm × 8.8 cm. After obtaining informed consent, a two-phase laparoendoscopic single-site (LESS) cervical ligaments-sparing hysterectomy was performed smoothly. The patient discharged on 4th day and resumed her sexual life less than 2 months after surgery.
This novel minimal invasive method of hysterectomy makes difficulty laparoscopic hysterectomy easy and safe. Preservation of cervical ligaments retains stability in the pelvic floor and may reduce intraoperative complications and subsequent pelvic floor organ prolapse.
提出一种用于困难腹腔镜子宫切除术的新方法，该方法保留宫颈韧带并消除宫颈管和宫颈转化区。
一名40岁女性，孕3产3，既往有剖宫产史，因子宫腺肌病伴月经过多和严重贫血转诊至妇科门诊。超声检查显示子宫增大至13.5 cm×10.7 cm×8.8 cm。在获得知情同意后，顺利进行了两阶段腹腔镜单孔（LESS）保留宫颈韧带子宫切除术。患者于术后第4天出院，术后不到2个月恢复性生活。
这种新型的微创子宫切除术方法使困难的腹腔镜子宫切除术变得轻松且安全。保留宫颈韧带可保持盆底稳定性，并可能减少术中并发症及随后的盆底器官脱垂。
