Department of Obstetrics, Gynecology & Reproductive Medicine, Stony Brook Medicine, New York, USA.
Curr Opin Obstet Gynecol. 2022 Aug 1;34(4):250-255. doi: 10.1097/GCO.0000000000000791. Epub 2022 Jun 27.
Minimally invasive hysterectomy has gained popularity because of its many benefits. However, laparoscopic and robotic assisted hysterectomy have been associated with increased risk of vaginal cuff dehiscence. This review is meant to address risk management and prevention of vaginal cuff dehiscence in patients undergoing minimally invasive hysterectomy.
Recent findings in the literature focus on addressing modifiable risk factors in patients and on using good surgical technique to help minimize the risk of vaginal cuff dehiscence.
The focus of this review is to help surgeons identify patient risk factors and address them preoperatively and to review surgical techniques that can minimize the risk of vaginal cuff dehiscence.
由于微创子宫切除术具有诸多优势,因此已广泛应用。然而,腹腔镜和机器人辅助子宫切除术与阴道残端裂开的风险增加有关。本综述旨在讨论微创子宫切除术患者阴道残端裂开的风险管理和预防措施。
文献中的最新研究结果集中于解决患者可改变的危险因素,并采用良好的手术技术来帮助降低阴道残端裂开的风险。
本综述的重点是帮助外科医生识别患者的危险因素,并在术前对其进行处理,同时回顾可降低阴道残端裂开风险的手术技术。