Grochmal S A, Weekes A, Garratt D, Slatkine M, Hanson E
New Jersey Laser Institute, P.O. Box 2374, Princeton, NJ 08543-2374, USA.
J Am Assoc Gynecol Laparosc. 1993 Nov;1(1):43-7. doi: 10.1016/s1074-3804(05)80757-1.
We evaluated the efficacy of a new laparoscopic ultrasonic aspirator and applied it in gynecologic endoscopy. Two procedures were selected for preliminary evaluation of the instrument; ultrasonic aspiration for selective presacral neurectomies and total laparoscopic hysterectomy (TLH). The aspirator worked successfully in evacuating soft tissue and in adequately exposing the presacral plexus. In TLH we were able to skeletonize the broad ligament adventitia all the way to the level of the uterine arteries bilaterally, including exposure of the ureters. The time required for the procedures varied from case to case, and strongly depended on tissue type and on instruments used to dissect and improve visualization of the operative field. The aspirator may prove useful as an adjunctive in the surgical management of endometriosis, in laparoscopic lymphadenectomy, and in treating complex adhesions after further evaluation is completed.
我们评估了一种新型腹腔镜超声吸引器的功效，并将其应用于妇科内镜手术。选择了两种手术对该器械进行初步评估；用于选择性骶前神经切除术的超声吸引术和全腹腔镜子宫切除术（TLH）。该吸引器在清除软组织和充分暴露骶前神经丛方面工作成功。在TLH手术中，我们能够将阔韧带外膜一直向双侧子宫动脉水平进行骨骼化处理，包括暴露输尿管。手术所需时间因病例而异，并且很大程度上取决于组织类型以及用于解剖和改善手术视野可视化的器械。在完成进一步评估后，该吸引器可能被证明可作为子宫内膜异位症手术管理、腹腔镜淋巴结清扫术以及治疗复杂粘连的辅助工具。
