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[CASH(经典、经腹、Semm式、子宫切除术)式腹腔镜子宫切除术的碎块切除]

[Morcellation laparoscopic hysterectomy of the CASH (Classical, Abdominal, Semm, Hysterectomy) type].

作者信息

Rosales Delgado J A, González-Sicilia Cotter E, González Vergara R, Aedo Ocaña O

机构信息

Departamento de Endoscopia Hospital, General ISSSTE Veracruz.

出版信息

Ginecol Obstet Mex. 1994 Dec;62:378-80.

PMID:7835735
Abstract

A classical abdominal Semm hysterectomy (CASH) morcellation laparoscopic hysterectomy was performed without bilateral salpingo-oophorectomy in 17 patients using 4 punctures with intracorporeal and extracorporeal suturing in 13 patients and in 4 patients with stapler of 35 mm. Removal of endocervical and endometrial canal through vaginal morcellation, the advantages of this procedure are its reduced blood loss, minimum possibility of ureter or bladder injury and decreased risk of infection through vaginal contamination, as well as a fast recovery period and minimum of pain.

摘要

对17例患者实施了经典经腹Semm子宫切除术(CASH)碎块切除术式腹腔镜子宫切除术,其中13例患者采用4个穿刺孔并进行体内和体外缝合,4例患者使用35mm吻合器。通过阴道碎块切除术切除宫颈管和子宫内膜管,该手术的优点包括出血量减少、输尿管或膀胱损伤的可能性最小、经阴道污染导致感染的风险降低,以及恢复期快和疼痛轻微。

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