7 Laparoscopic hysterectomy

Bailliere's clinical obstetrics and gynaecology Pub Date : 1997-03-01 DOI:10.1016/S0950-3552(97)80053-3

MBBS, FRCS, FRACOG Carl Wood (Emeritus Professor, Director) , MBBS, FRACOG, FRCOG Peter J. Maher (Associate Professor, Director of Endosurgical Services)

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引用次数: 10

Abstract

The terminology of laparoscopically-assisted hysterectomies needs to be simplified and clarified. Laparoscopic hysterectomy should be used as a general term, whereas operative laparoscopy before hysterectomy, laparovaginal, laparoscopic total and subtotal hysterectomy should be used to describe the types of laparoscopic hysterectomy.

The complication rates from laparoscopic hysterectomy, abdominal hysterectomy and vaginal hysterectomy are similar. The lower febrile morbidity after laparoscopic hysterectomy may be due to improved pelvic visualization compared to vaginal and abdominal hysterectomy.

Controlled trials show that laparoscopic hysterectomy has advantages over abdominal hysterectomy which include reduced pain, reduced hospitalization time and earlier return to work.

Most abdominal hysterectomies can be replaced by laparoscpic or vaginal hysterectomies. Whether this happens will depend upon adequate training facilities.

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腹腔镜子宫切除术

腹腔镜辅助子宫切除术的术语需要简化和澄清。腹腔镜子宫切除术应作为总称，而子宫切除术前的腹腔镜手术、腹腔镜阴道手术、腹腔镜全子宫切除术和次全子宫切除术应作为腹腔镜子宫切除术类型的统称。腹腔镜子宫切除术、腹式子宫切除术和阴道子宫切除术的并发症发生率相似。腹腔镜子宫切除术后较低的发热发病率可能是由于与阴道和腹部子宫切除术相比，腹腔镜子宫切除术改善了盆腔显像。对照试验表明，腹腔镜子宫切除术优于腹部子宫切除术，包括减轻疼痛，减少住院时间和更早恢复工作。大多数腹部子宫切除术可以用腹腔镜或阴道子宫切除术代替。这种情况是否发生将取决于是否有足够的训练设施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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