Than G N, Arany A A, Schunk E, Vizer M, Krommer K F
Department of Obstetrics and Gynaecology, Medical University, Pécs, Hungary.
Acta Chir Hung. 1994;34(1-2):79-86.
The effect of visceral peritoneal closure after conventional abdominal hysterectomies and Wertheim-Meigs radical operations was studied clinically. No considerable differences were found in the postoperative staying period; however, the incidence of complications were less in the peritoneal non-closure group (n = 91) than in the control, peritonealized group (n = 149). Significantly lower was the number of postoperative irregular pyelogram in cases without peritoneal closure (n = 25) of radical abdominal operations than in the control group (n = 49) with peritoneal suturing. We therefore suggest that the lack of suturing of visceral peritoneums has some advantages after abdominal hysterectomies and especially has benefits for Wertheim-Meigs operations.
对传统腹部子宫切除术和韦特海姆-梅格斯根治性手术之后的内脏腹膜闭合效果进行了临床研究。术后住院时间未发现显著差异；然而，腹膜未闭合组（n = 91）的并发症发生率低于对照组即腹膜缝合组（n = 149）。在腹部根治性手术中，未进行腹膜闭合的病例（n = 25）术后肾盂造影异常的数量明显低于进行腹膜缝合的对照组（n = 49）。因此，我们认为腹部子宫切除术后不缝合内脏腹膜具有一定优势，尤其对韦特海姆-梅格斯手术有益。
