Farrell S A, Ling C
Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia,
Obstet Gynecol. 1997 Nov;90(5):845-7. doi: 10.1016/S0029-7844(97)00423-7.
The paravaginal defect, present in more than three-quarters of patients with cystoceles, can be repaired by both the abdominal and vaginal approaches. The technical challenges of the vaginal paravaginal repair have militated against its widespread adoption by gynecologic surgeons.
Currycombs can be used to facilitate suture management during vaginal paravaginal repair.
The vaginal paravaginal repair using currycombs was performed as part of pelvic repair surgery on 27 patients. Perioperative complications were minimal. A cystocele cure rate of 80% was achieved after a mean follow-up of 8 months.
The use of currycombs during performance of the vaginal paravaginal repair facilitates suture management. The addition of this technique should help gynecologic surgeons to perform this somewhat daunting surgical procedure.
超过四分之三的膀胱膨出患者存在阴道旁缺陷,可通过腹部和阴道途径进行修复。阴道旁修补术的技术挑战阻碍了妇科外科医生广泛采用该方法。
在阴道旁修补术中,可使用梳状钳辅助缝线操作。
27例患者接受了采用梳状钳的阴道旁修补术,作为盆腔修复手术的一部分。围手术期并发症极少。平均随访8个月后,膀胱膨出治愈率达80%。
在阴道旁修补术中使用梳状钳有助于缝线操作。增加这一技术应有助于妇科外科医生实施这一颇具挑战性的手术。