Non-prolapsed uterus vaginal and abdominal surgery clinical comparative analysis.doc

 PAGE \* MERGEFORMAT 8 Non-prolapsed uterus vaginal and abdominal surgery clinical comparative analysis [Keywords:] Minimally invasive surgery With minimally invasive surgery in the treatment of the increasing rise of gynecology and minimize surgical trauma patients, the goal is gynecologist. Hysterectomy is the most common gynecological surgery performed, how to choose safe, less invasive, quick recovery The surgical approach is patient issues of common concern. now there are 60 cases in our hospital indication of the non-hysterectomy vaginal prolapse of the uterus pass through surgery (transvaginal hysterectomy, TVH, and in the same period total abdominal hysterectomy compared 60 patients , reported as follows. 1 Materials and Methods 1.1 General information reviewed in our hospital in June 2005 ~ June 2007 due to a variety of benign non-prolapsed uterus lesion surgery, 60 cases TVH data for the study group. Including 36 cases of uterine fibroids, dysfunctional uterine bleeding 13 cases, 11 cases of uterine adenomyosis, including previous history of tubal ligation in 6 patients. patients aged 35 to 58 years, average 47.6 years old. Palace sizes were less than 3.5 months pregnant uterine size. Select the same line TAH surgery the control group of 60 cases between the two groups in operative indications, age, size of the uterus were not statistically different aspects. two groups of patients underwent preoperative pelvic ultrasound and B, uterine activity and to understand whether the lesion double Accessories , parallel vaginal cytology ruled out malignant lesions. 1.2 Methods TVH, TAH steps to operate strictly in accordance with the Operative. 1.2.1 Vaginal hysterectomy operation [1] Patients were lithotomy position, routine disinfection, shop towels, catheterization, exposure to the cervix. Furrow in the bladder, the posterior fornix with the cervix at the junction of the middle of submucosal injection of oxytocin 20 u mixture of normal sal