Berman M L, Grosen E A
Department of Obstetrics and Gynecology, University of California Irvine Medical Center, Orange.
Obstet Gynecol. 1994 Sep;84(3):478-80.
A new method for vaginal cuff closure at abdominal hysterectomy avoids blood loss and spillage of vaginal contents into the peritoneal cavity. Using two separate running and interlocking absorbable monofilament sutures, the technique keeps the vagina closed at all times and avoids damage to the bladder or ureters. In 77 consecutive patients undergoing abdominal hysterectomy for endometrial cancer, morbidity related to the cuff closure included cuff cellulitis in only 2.6%, granulation tissue in 3.1%, and postoperative bleeding in none of the patients.
一种用于腹式子宫切除术中阴道残端闭合的新方法可避免失血以及阴道内容物溢入腹腔。该技术使用两根单独的连续且相互锁定的可吸收单丝缝线，始终保持阴道闭合，避免损伤膀胱或输尿管。在77例连续接受腹式子宫切除术治疗子宫内膜癌的患者中，与阴道残端闭合相关的并发症仅包括2.6%的残端蜂窝织炎、3.1%的肉芽组织形成，且无患者发生术后出血。
