Tran D K, Paoli A, Fiorentini M, Codur-Emilianoff D
J Gynecol Obstet Biol Reprod (Paris). 1977 Jul-Aug;6(5):689-94.
The authors demonstrate the innocuousness of the method of removal of the Pouch of Douglas after a critical analysis of 50 cases followed up for between 6 months and 5 years. They believe that simple removal of the pelvic peritoneum is sufficient to overcome the condition of a pathological fold of peritoneum, but not sufficient on the other hand to correct the condition of retroverted uterus because two new peritoneal fossae form lateral to the viscerae easily because of the morphology of the pelvic cavity. They therefore stress that, at the time of the operation, it is important to suture the utero-sacral ligaments together in the sagittal plane.
作者通过对50例随访6个月至5年的病例进行批判性分析，证明了Douglas窝切除术方法的无害性。他们认为，单纯切除盆腔腹膜足以克服腹膜病理性褶皱的情况，但另一方面不足以纠正子宫后倾的情况，因为由于盆腔的形态，在内脏外侧很容易形成两个新的腹膜隐窝。因此，他们强调，在手术时，在矢状面将子宫骶韧带缝合在一起很重要。
