Semm K
Geburtshilfe Frauenheilkd. 1977 Nov;37(11):909-20.
Surgery of the fallopian tubes has today developed into pelviscopic surgery. The development of suitable instruments such as the tube set, a new endocoagulation method were prerequisites for this development. Operative therapeutic pelviscopic surgery is a development past laparotomy. It is now possible to treat adhesions in the abdomen with this method, to coagulate and divide fallopian tubes for sterilization, to aspirate ovarian cysts and resect walls of ovarian cysts, to coagulate endometriosis and to perform salpingolysis and salpingostomy. In selected cases ovariectomy and myomectomy are possible through the pelviscope. Tables and statistics on 3300 pelviscopies are presented. The indications are discussed. The use of pelviscopy following previous laparotomy (1831 cases) is discussed. The complication rate was 1.10% without death, without injury to large vessels, without embolic phenomenon. The operative risk is therefore less than that of laparotomy. The operative therapeutic pelviscopy can replace the classical laparotomy in about 25% of the cases. For the operation of tubal infertility, a laparotomy is eliminated in about 80% of the cases.
如今，输卵管手术已发展为盆腔镜手术。合适器械的研发，如输卵管套件、一种新的内膜凝固方法，是这一发展的先决条件。手术治疗性盆腔镜手术是继剖腹手术之后的一项发展成果。现在，用这种方法可以治疗腹部粘连、凝固并切断输卵管以达到绝育目的、抽吸卵巢囊肿并切除卵巢囊肿壁、凝固子宫内膜异位症以及进行输卵管粘连松解术和输卵管造口术。在特定病例中，还可通过盆腔镜进行卵巢切除术和子宫肌瘤切除术。文中列出了3300例盆腔镜检查的表格和统计数据，并对适应证进行了讨论。同时也讨论了先前剖腹手术后进行盆腔镜检查（1831例）的情况。并发症发生率为1.10%，无死亡病例，无大血管损伤，无栓塞现象。因此，手术风险低于剖腹手术。手术治疗性盆腔镜检查在约25%的病例中可替代传统剖腹手术。对于输卵管性不孕症的手术，约80%的病例可避免剖腹手术。
