Laparoscopic hysterectomy next time analysis of 38 cases.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic hysterectomy next time analysis of 38 cases Keywords: laparoscopic subtotal hysterectomy With the wide range of laparoscopic surgery carried out in the field of gynecologic laparoscopic surgery is not limited to the annex to resection, but also including myomectomy, hysterectomy, subtotal hysterectomy and so on. Our hospital since June 2006 to January 2007 a total laparoscopic hysterectomy the next 38 cases, the report is as follows. A clinical data 1.1 General Information of this group, 38 patients, aged 38 to 52 years, with an average 43.2 years of age. Of which 27 cases of uterine fibroids, adenomyosis in 11 cases. All the attending gynecological examination the uterus increased pairs of “12 weeks in 31 cases, the uterus increases” 12 weeks in 7 cases, there is the history of lower abdominal surgery in 11 cases. 1.2 surgical methods are used endotracheal intubation with inhalation anesthesia, take the bladder lithotomy position, routine disinfection shop towel, at the umbilicus with the 10mm trocar (Trocar) puncture, injection of carbon dioxide gas, so that intra-abdominal pressure up to 15mmHg, home mirror After taking the first low-pin-high, and then each placed in the lower abdomen on both sides of 5,10 mm Trocar, the two holes as the operation of hole. And then move from the vagina into Palace device, microscopic steps with open surgery. How: The ultrasonic scalpel and bipolar electrocoagulation treatment of bilateral Park ligament, fallopian tube isthmus, ovary and broad ligament intrinsic ligaments before and after the leaf, fold open the bladder peritoneum, the bladder to the cervix Gap pushdown subordinates 2cm, bipolar coagulation of uterine artery and vein, with catgut No. 1 middle three cervical ligation, hysterectomy uterus removal device, if the attachment contained a lesion will be used for the corresponding treatment, pelvic washing, check for bleeding, no abnormal operati