Gupta J K, Frank T G, Nwosu C R
Gynaecology Minimal Access Unit, Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, Scotland, United Kingdom.
Obstet Gynecol. 1998 Jul;92(1):144-7. doi: 10.1016/s0029-7844(98)00128-8.
When performing a vaginal hysterectomy, removal of the tubes and ovaries can be either necessary or desirable. We describe our experience with a new instrument called the Gupta-Frank clamp for performing vaginal salpingo-oophorectomy at the time of vaginal hysterectomy.
The stainless steel Gupta-Frank clamp is 260 mm long, and its shanks are curved to avoid impedance from the vaginal walls. The 70-mm jaws have a smooth curve, which allows both the round and infundibulopelvic ligaments to be incorporated into a single clamp bite. Each jaw has three serrated grooves, which interlock with the corresponding jaw grooves to give a 6-mm-wide atraumatic nonslip area.
We have used this instrument in 18 women undergoing bilateral salpingo-oophorectomy at the time of vaginal hysterectomy. A single clamp bite on each side was sufficient to accomplish salpingo-oophorectomy in all cases. There were no major complications.
Salpingo-oophorectomy performed vaginally at the time of vaginal hysterectomy with the Gupta-Frank clamp is feasible and is accomplished easily and safely.
在进行阴道子宫切除术时，切除输卵管和卵巢可能是必要的或可取的。我们描述了我们使用一种名为古普塔 - 弗兰克钳的新器械在阴道子宫切除术时进行阴道输卵管卵巢切除术的经验。
不锈钢材质的古普塔 - 弗兰克钳长260毫米，其柄部弯曲以避免来自阴道壁的阻碍。70毫米的钳口有平滑的曲线，这使得圆韧带和骨盆漏斗韧带都能被纳入单次钳夹。每个钳口有三个锯齿状凹槽，与相应的钳口凹槽相互锁定，形成一个6毫米宽的无创伤防滑区域。
我们已在18例接受阴道子宫切除术时进行双侧输卵管卵巢切除术的女性中使用了该器械。在所有病例中，每侧单次钳夹就足以完成输卵管卵巢切除术。没有出现重大并发症。
在阴道子宫切除术时使用古普塔 - 弗兰克钳经阴道进行输卵管卵巢切除术是可行的，并且能够轻松、安全地完成。
