A Report on More than 10,000 Vaginal Hysterectomies Performed Without Ligation of the Paracervical Ligaments
作者： Ryuichi Kudo , Satoru Sagae , Eiki Itoh , Osamu Hayakawa , Motoiki Koizumi
DOI: 10.1111/J.1447-0756.2000.TB01348.X
关键词: Ligation 、 Operative time 、 Vaginal approach 、 Surgery 、 Hysterectomy vaginal 、 Blood loss 、 University hospital 、 Obstetrics and gynaecology 、 Medicine
摘要: Objective: To review 10,016 cases of total vaginal hysterectomy (TVH) performed in our department by a method without ligation the paracervical ligaments. Methods: From 1955 to 1997, TVHs ligaments were at Department Obstetrics and Gynecology, Sapporo Medical University Hospital. Results: Of all 22,509 gynecological operations, 44.5% TVHs, 8.7% abdominal hysterectomies (TAHs). The operative time ranged from 31–60 minutes 44.1% cases, 61–90 35.3% cases. Blood loss was less than 300 ml 85% Abdominal conversion approach occurred 110 (1%). Operative complications also only 0.7% (69) cases. Conclusion: TVH is safe convenient that has very few can be utilized many gynecologists.
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