Levine D J, Botney K
Department of Obstetrics and Gynecology, St. Luke's Hospital, Chesterfield, Missouri 63017, USA.
J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):545-8. doi: 10.1016/s1074-3804(05)80165-3.
To compare the classic intrafascial Semm hysterectomy (CISH) with abdominal hysterectomy.
Retrospective analysis.
Community hospital.
The first 100 women with intractable uterine bleeding, leiomyomata, and chronic pelvic pain.
The CISH procedure, initially with the Endo GIA stapler, but later, electrocoagulation and suture to lower costs and eliminate automatic staple complications.
Operating time for CISH decreased and our ability to remove larger uteri increased as we became more proficient. Complications were limited to one cystotomy and four transfusions. The average hospital stay was 36 hours and most patients were back to normal activity in 3 weeks.
Our experience suggests that the CISH is organ preserving, is minimally invasive, decreases recovery time, and can be performed in women in whom an open abdominal approach once would have been the only option.
比较经典筋膜内Semm子宫切除术（CISH）与腹式子宫切除术。
回顾性分析。
社区医院。
首批100例患有顽固性子宫出血、子宫肌瘤和慢性盆腔疼痛的女性。
CISH手术，最初使用Endo GIA吻合器，后来采用电凝和缝合以降低成本并消除自动吻合钉并发症。
随着我们操作越来越熟练，CISH的手术时间缩短，切除较大子宫的能力增强。并发症仅限于1例膀胱切开术和4例输血。平均住院时间为36小时，大多数患者在3周内恢复正常活动。
我们的经验表明，CISH保留器官、微创、缩短恢复时间，并且可以应用于曾经只能选择开腹手术的女性。
