Käser O
Zentralbl Gynakol. 1981;103(12):657-67.
Surgical gynaecology in the late seventies was characterised by low lethality but still high morbidity. Comparative studies have remained to be somewhat difficult to undertake for the absence of one coherent, generally accepted definition and listing of intrasurgical and postsurgical complications. Several prophylactic steps are discussed, before reference is made to the choice of a surgical technique by which to cope with benign and malignant diseases. With low lethality and comparable morbidity, consideration may be given to other aspects, as well, including preservation of functionality, prevention of recurrence, and cosmetic requirements. The trend for malignant diseases, today, is to undertake surgery, as conservative as possible and as radical as necessary.
20世纪70年代末的妇科手术特点是致死率低但发病率仍然很高。由于缺乏一个连贯、普遍接受的手术中和术后并发症的定义和清单，比较研究仍有些难以进行。在讨论应对良性和恶性疾病的手术技术选择之前，先讨论了几个预防措施。鉴于致死率低且发病率相当，还可以考虑其他方面，包括功能保留、复发预防和美容需求。如今，恶性疾病的趋势是尽可能保守且在必要时尽可能根治地进行手术。
