Laparoscopic assisted vaginal hysterectomy clinical analysis of 128 cases.docVIP

 PAGE \* MERGEFORMAT 7 Laparoscopic assisted vaginal hysterectomy clinical analysis of 128 cases [Keywords:] uterine fibroids Uterine fibroids, adenomyosis, and dysfunctional uterine bleeding are common disease female reproductive system, in which the incidence of uterine fibroids in women of childbearing age up to 20% to 40% [1]. The past was mainly abdominal hysterectomy surgery, with the application and development of laparoscopic techniques in laparoscopic assisted vaginal hysterectomy line has become increasingly popular in recent years, now implemented in our hospital 128 cases of hysterectomy cases reported below. 1 Materials and Methods 1.1 General Information Select June 2005 ~ June 2007 laparoscopic-assisted hysterectomy 128 cases, of which 78 cases of uterine fibroids (5 cases of combined vaginal wall prolapse, 39 cases of adenomyosis, dysfunctional uterine bleeding in 11 cases . aged 40 to 62 years, average 46.4 years old. menstrual pain in 19 cases, 36 cases of menorrhagia, urinary frequency and other symptoms of 11 cases of bladder pressure, anemia in 32 cases. past history of abdominal surgery in 27 cases: 4 cases of uterine fibroids cystectomy , ovarian cystectomy in 3 cases, 7 cases of cesarean section, tubal ligation in 12 cases, appendectomy was performed in 1 case. preoperative gynecological examination, B-ultrasound, diagnostic curettage exclude cervical and endometrial malignancy. 1.2 Procedures 1.2.1 The establishment of pneumoperitoneum laparoscopic partial pressure 11 ~ 14 mmHg, 3 small incision: Under the umbilicus or 10 mm, the left lower quadrant and the corresponding point of Michael’s point of 5 mm, Michael’s point of 10 mm. Keep bilateral annex who scalpel off the round ligament, fallopian tube and ovarian isthmus natural ligament. resection Annex who coagulation, cutting the round ligament and pelvic ligaments hopper, electric hook to open the uterus bladder peritoneal fold, separating the bladder down the level