Smale L E, Smale M L, Wilkening R L, Mundy C F, Ewing T L
Am J Obstet Gynecol. 1978 May 15;131(2):122-8. doi: 10.1016/0002-9378(78)90653-1.
Three hundred fifty-five cases of vaginal hysterectomy associated with bilateral or unilateral salpingo-oophorectomy were reviewed to assess the safety and feasibility of adnexa removal when such was necessary or desirable. Other than one instance of hemorrhage from ovarian vessels, no serious complications, including ureteral injuries, could be assigned specifically to the removal of the adnexa. Our opinion is that the techniques for salpingo-oophorectomy at the time of vaginal hysterectomy should be taught to residents and practiced by gynecologic surgeons.
回顾了355例阴道子宫切除术联合双侧或单侧输卵管卵巢切除术的病例，以评估在必要或适宜时切除附件的安全性和可行性。除1例卵巢血管出血外，未发现包括输尿管损伤在内的可明确归因于附件切除的严重并发症。我们认为，阴道子宫切除术时输卵管卵巢切除术的技术应教授给住院医师，并由妇科外科医生实践操作。
