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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.

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。

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