Matsubara Shigeki, Takahashi Hironori, Baba Yosuke
Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
Arch Gynecol Obstet. 2017 Nov;296(5):851-853. doi: 10.1007/s00404-017-4498-2. Epub 2017 Sep 5.
At cesarean hysterectomy for abnormally invasive placenta, rupture of aberrant vessels around the uterus causes massive bleeding.
This study aimed at describing a technique to reduce bleeding from aberrant vessels at the posterior bladder wall in this surgery.
The bladder is filled with 200-300 mL of water during handling the posterior bladder wall.
This technique facilitates understanding that some aberrant vessels do not have communications with the cervix-uterus. Some aberrant vessels have communication with the cervix-uterus and this technique makes cutting and ligation of these vessels easy.
Filling the bladder may reduce bleeding from the posterior bladder wall at cesarean hysterectomy for abnormally invasive placenta.
在剖宫产子宫切除术中治疗异常侵入性胎盘时，子宫周围异常血管破裂会导致大量出血。
本研究旨在描述一种减少该手术中膀胱后壁异常血管出血的技术。
在处理膀胱后壁时，向膀胱内注入200 - 300毫升水。
该技术有助于明确一些异常血管与子宫颈无交通。一些异常血管与子宫颈有交通，且该技术使这些血管的切断和结扎变得容易。
在剖宫产子宫切除术中治疗异常侵入性胎盘时，充盈膀胱可能减少膀胱后壁出血。
