Penfield A J
Obstet Gynecol. 1979 Aug;54(2):184-8.
Minilaparotomy, as described in this report, is surgical entry into the lower abdominal cavity through a small transverse suprapubic incision, for the purpose of tubal ligation. The 200 operations reported were performed under local anesthesia in a free-standing office surgical unit. For most women requesting sterilization, minilaparotomy is a highly satisfactory approach. For patients with fixed uterine retroversion, enlarged uteri, or suspected adnexal disease, open laparoscopy under local anesthesia is preferable. The standard Pomeroy technique was used in all cases. Analysis of a follow-up minilaparotomy questionnaire indicates a high degree of patient satisfaction. No subsequent pregnancies have been reported by these patients, but since no patient in this series has been followed for more than 2 years, no conclusion as to long-term failure rate may be made.
如本报告所述，小切口剖腹术是通过耻骨上小横切口进入下腹腔，用于输卵管结扎。报告的200例手术是在独立的门诊手术单元中在局部麻醉下进行的。对于大多数要求绝育的女性来说，小切口剖腹术是一种非常令人满意的方法。对于子宫后倾固定、子宫增大或疑似附件疾病的患者，局部麻醉下的开放式腹腔镜检查更为可取。所有病例均采用标准的波默罗伊技术。对一份小切口剖腹术后续调查问卷的分析表明患者满意度很高。这些患者均未报告有后续妊娠情况，但由于本系列中没有患者随访超过2年，因此无法得出关于长期失败率的结论。
