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全腹子宫切除术中可吸收夹闭阴道闭合术

[Vaginal closure with resorbable clip in total abdominal hysterectomy].

作者信息

Simmen U J, Dreher E, Kubista E, Bruck H

机构信息

Universitäts-Frauenklinik Bern.

出版信息

Geburtshilfe Frauenheilkd. 1988 Mar;48(3):175-8. doi: 10.1055/s-2008-1035719.

DOI:10.1055/s-2008-1035719
PMID:3371631
Abstract

The latest type of clip stapler with resorbable clips for closure of the vaginal stump in abdominal hysterectomies was used by nineteen different surgeons on 80 patients at two university clinics, employing the same surgical procedure. Perioperative handling and the complication-free postoperative course were considered satisfactory. There was no dyspareunia, previously described in association with metal clips. Granular tissue requiring therapy and serosanguinous discharge were clearly reduced. On the basis of measurements of vaginal cuffs removed at the same time it can be said that there is no shortening of the vagina. The question of costs is discussed.

摘要

在两家大学诊所,19位不同的外科医生使用最新款带有可吸收夹的吻合器在80例患者的腹部子宫切除术中闭合阴道残端,采用相同的手术步骤。围手术期处理及术后无并发症的病程被认为是令人满意的。未出现先前报道的与金属夹相关的性交困难。需要治疗的颗粒组织和血清样渗出物明显减少。根据同时切除的阴道断端的测量结果,可以说阴道没有缩短。文中还讨论了成本问题。

相似文献

1
[Vaginal closure with resorbable clip in total abdominal hysterectomy].全腹子宫切除术中可吸收夹闭阴道闭合术
Geburtshilfe Frauenheilkd. 1988 Mar;48(3):175-8. doi: 10.1055/s-2008-1035719.
2
[Abdominal hysterectomy without internal peritonealization: primary vaginal closure with stapler or open and drained vagina].
Geburtshilfe Frauenheilkd. 1994 Apr;54(4):228-32. doi: 10.1055/s-2007-1023587.
3
Comparison between unidirectional barbed and polyglactin 910 suture in vaginal cuff closure in patients undergoing total laparoscopic hysterectomy.全腹腔镜子宫切除术患者阴道残端闭合中单向倒刺缝线与聚乙醇酸910缝线的比较。
Surg Technol Int. 2013 Sep;23:143-8.
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Vaginal cuff closure at abdominal hysterectomy: comparing sutures with absorbable staples.腹式子宫切除术中阴道残端闭合:缝线与可吸收吻合器的比较
Obstet Gynecol. 1991 Sep;78(3 Pt 1):415-8.
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Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies.不同子宫切除方式后阴道残端裂开的发生率及患者特征
J Minim Invasive Gynecol. 2007 May-Jun;14(3):311-7. doi: 10.1016/j.jmig.2006.11.005.
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[The use of an automatic stapler in abdominal hysterectomies. Our experience].[自动吻合器在腹部子宫切除术中的应用。我们的经验]
Minerva Ginecol. 1995 Apr;47(4):143-6.
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Vaginal cuff dehiscence after hysterectomy: a multicenter retrospective study.子宫切除术后阴道残端裂开:一项多中心回顾性研究。
Eur J Obstet Gynecol Reprod Biol. 2011 Oct;158(2):308-13. doi: 10.1016/j.ejogrb.2011.05.013. Epub 2011 Jul 1.
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Hospital cost comparison between abdominal, vaginal, and laparoscopy-assisted vaginal hysterectomies.腹式子宫切除术、阴式子宫切除术及腹腔镜辅助阴式子宫切除术的医院成本比较。
Obstet Gynecol. 1994 May;83(5 Pt 1):713-6.
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Dyspareunia from auto suture staples. A report of two cases.自动缝合钉导致的性交疼痛。两例报告。
Obstet Gynecol. 1977 Mar;49(3):369-70.
10
Laparoscopically assisted vaginal hysterectomy in a university hospital. Decreasing the need for abdominal hysterectomy and increasing resident experience in vaginal surgery.大学医院中的腹腔镜辅助阴道子宫切除术。减少腹部子宫切除术的需求并增加住院医师在阴道手术方面的经验。
J Reprod Med. 1996 Jul;41(7):497-503.

引用本文的文献

1
[Long-term animal experiment analysis of the use of resorbable staple sutures in partial gastrectomy].[可吸收吻合钉在胃部分切除术中应用的长期动物实验分析]
Langenbecks Arch Chir. 1994;379(1):4-7. doi: 10.1007/BF00206554.
2
[Resorbable staple sutures for partial stomach and duodenal stump closure. Animal experiment studies].[用于部分胃和十二指肠残端闭合的可吸收吻合钉缝线。动物实验研究]
Langenbecks Arch Chir. 1990;375(2):102-5. doi: 10.1007/BF00713394.