Hysterectomy for non-prolapsed Clinical comparison of two different surgical.docVIP

 PAGE \* MERGEFORMAT 11 Hysterectomy for non-prolapsed Clinical comparison of two different surgical [Keywords:] non-prolapsed uterus Clinical comparison of different surgical resection Laparoscopic assisted vaginal hysterectomy (La paroscopy assisted transvaginal hysterectomy, LAVH) and vaginal hysterectomy (transvaginalhysterectomy, TVH) is widely recognized as a minimally invasive, beautiful, fast recovery of two ways hysterectomy These two surgical methods have their advantages and disadvantages, TVH is a traditional surgical method, in the past hysterectomy for prolapse, with the skilled surgery, surgical instruments used in the development of currently non-prolapsed uterus, but compared with the LAVH has its limitations. the Court applied the two methods for benign disease in patients with non-prolapsed uterus to obtain good results, reported below. Subjects and methods 1. Target: January 2003 ~ January 2007 our hospital for benign non-prolapsed uterus 90 cases of disease. Depending upon the patients, surgical patients and doctors will select the surgical experience. 50 routine LAVH, 40 routine TVH. the two groups are uterine fibroids, adenomyosis is the most common indications for hysterectomy were no uterine prolapse, the uterus is less than 14 weeks of gestation, activities well estimated without serious adhesion. by ultrasound examination, gynecological examinations, cervical cytology, cervical biopsy and diagnostic curettage, understanding uterine size, accessories case, exclusion of malignant lesions. TVH Group choose the history of vaginal delivery at least 2 times, no pelvic adhesions, try to choose non-abdominal surgeries and accessories disease patients. The mean age, disease type and proportion of gallbladder stones, the difference was not statistically significant; LAVH group of abdominal surgery , ovarian cyst, uterine “fragmentation = 12 weeks of gestation is higher than in TVH group, vaginal delivery” A History TVH = 2 times lo