30 cases of non prolapse Vaginal Hysterectomy large clinical analysis.docVIP

 PAGE \* MERGEFORMAT 4 30 cases of non prolapse Vaginal Hysterectomy large clinical analysis Improve the surgical instruments, surgical quality improvement, and gradually expand the scope of surgical indications in recent years, non-prolapsed uterus vaginal excision in quite a few hospitals. Vaginal hysterectomy a few years in our hospital, and made good effect, now 30 patients in our hospital’s large non-hysterectomy prolapse summarized as follows. 1 Materials and Methods 1.1 General information: The data from our hospital from January 2005 -2008 hospitalized patients in December, both by maternal age 38-50 years, 12-16 weeks of pregnancy as the uterus, of which 8 cases of abdominal surgery , history of cesarean section in 3 cases, 2 cases of uterine fibroids removed, ligation in 3 cases. B-preoperative routine examination, pelvic CT, exclude uterine malignancy. 1.2 anesthesia, spinal and epidural anesthesia 1.3 Operation Method: Patients were bladder lithotomy position, routine disinfection, shop towels, catheterization, exposure to the cervix. 0.3cm at the bottom of the bladder groove cut around the cervical junction of cervical and vaginal mucous membrane, the gap separating the cervix and cervical rectal bladder clearance push the bladder, cervix bladder pushed the gap, if pushed hard, smooth feel to consider adhesion, such as minor loose adhesions close to the house up the sharp anterior serosal layer and can be separated. adhesions wide, dense person, open retroperitoneal rectum uterine fold, first removing the fibroids shrink after the separation of adhesions at the uterine volume. into the abdominal cavity, sub-sub-off tie on both sides of the main ligament, sacral ligament, uterine tissue, uterine artery and vein, removal of the uterus by the following three methods : 1, myomectomy, uterine morcellation technique 2, block resection Palace, three pairs of half-cut open, the uterus in half. will deal with bilateral round ligaments, fal