Large vaginal hysterectomy of 26 cases.docVIP

 PAGE \* MERGEFORMAT 9 Large vaginal hysterectomy of 26 cases [Abstract] Objective To investigate the large uterus transvaginal hysterectomy (TVH the safety, feasibility and clinical value. Methods August 2005 -2009 Division I in June of 27 cases of uterine fibroids, adenomyosis, uterine fibroids merger or uterine fibroids without genital prolapse gland, enlarged uterus, such as 10-16 weeks of pregnancy underwent vaginal hysterectomy. Results of 26 cases of successful vaginal resection, the success rate of 96.3%, uterine weight 280-850g. The operation time 30-150min, operation at the same time cut in half by the uterus, myomectomy, uterine morcellation technique in which one or more specific approach in 20 cases (74.07%. intraoperative lysis simultaneously 5 cases of mild adhesions (18.51%. while the line side of the attachment or removal of cysts removed 3 cases (11.1%. intraoperative blood loss 50-400ml. hospital day 5-7d. Conclusion vaginal removal of large uterus through the vagina is safe and effective surgery. uterus increases more than 12 weeks of pregnancy is not an absolute contraindication TVH. with mild pelvic adhesions and feasible TVH. [Keywords:] vaginal hysterectomy large uterus With the continuous development of minimally invasive techniques, vaginal hysterectomy in clinical as it unfolds, but the narrow operative field, exposure difficult, technical operation is difficult but not widely used, especially for large uterus (uterine bodygt; = 12 pregnant Zhou, prone to cause failure and increased surgical complications. are carried out in our hospital 26 cases of vaginal hysterectomy great experience, and reported as follows. 1 Materials and Methods 1.1 The object of study in August 2005 -2009 Division I in June were treated with uterine fibroids, uterine fibroids or uterine adenomyoma combined 27 cases of adenomyosis in patients with non-prolapsed uterus and implementation of large big vaginal hysterectomy. 3 cases associa