Non-prolapsed uterus vaginal resection of 60 cases.doc

 PAGE \* MERGEFORMAT 7 Non-prolapsed uterus vaginal resection of 60 cases [Abstract] Objective To investigate the removal of prolapsed uterus vaginal feasibility and safety. Methods 60 cases of benign lesions in the line of non-prolapsed uterus vaginal hysterectomy, including 10 cases of old perineal laceration repair the line, uterine size, such as 7 to 12 weeks pregnant. Results 58 patients successfully completed surgery, 2 were converted to laparotomy, none of the bladder, rectum, ureter injury, recovered and discharged. Conclusion The good surgical indications, vaginal hysterectomy with a minimally invasive and security features. [Keywords:] non-prolapsed uterus vaginal hysterectomy indications With the concept of minimally invasive surgery in gynecology and surgical skills, the introduction of continuous improvement and perfection of vaginal hysterectomy (transvaginal hysterectomy, TVH increasing attention by the academic obstetrics and gynecology, our hospital since November 10, 2006 to carry out non-prolapsed Vaginal hysterectomy, are as follows. 1 Materials and Methods 1.1 General Information October 2006 to October 2008 were performed in our hospital gynecology non-prolapsed vaginal hysterectomy of 60 cases. Had history of vaginal delivery, with an average age of 44 years, mean parity 2.1. 40 cases of uterine fibroids , 10 cases of dysfunctional uterine bleeding, adenomyosis, 4 cases of benign cervical disease in 6 cases. preoperative uterine size is estimated in the normal range in 10 cases, 10 cases of pregnant 6 weeks, 7 weeks pregnant 16 patients, 8 weeks pregnant 18 cases, 6 cases of more than 10 weeks pregnant. past history of abdominal surgery in 18 cases, including 12 cases of tubal ligation, appendectomy in 6 cases. 1.2 Procedures 1.2.1 + spinal epidural anesthesia anesthesia; spinal epidural anesthesia +; spinal anesthesia. 1.2.2 surgical fixation of the labia minora, the balloon catheter, cervical clamp double grasp