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半腹膜外子宫切除手术指征适宜,可减少对肠管的刺激,缩短腹腔开放时间,避免因麻醉效果欠佳致肠管及大网膜膨出;因阴道穹窿切开在腹膜外进行,故可防止阴道分泌物污染腹腔,使术后感染率下降;肠蠕动恢复及排气早,病人恢复快。近年来,我们施行半腹膜外子宫切除改进术式64例,效果满意。 1.手术方法:取下腹纵或横切口,暴露并切开膀胱前筋膜。分离子宫膀胱反折腹膜及其间隙时,助手用温纱布轻轻上提左上方膀脱顶部,术者以双手中食指轻轻下压膀胱
Semi-extraperitoneal hysterectomy appropriate indications, can reduce the stimulation of the intestine, shorten the opening of the abdominal cavity, to avoid poor anesthetic effect caused by intestinal and omental bulging; vaginal fornix incision in the extraperitoneal, it can prevent Vaginal secretions contaminated the abdominal cavity, the postoperative infection rate decreased; peristalsis recovery and exhaust early, the patient recovered quickly. In recent years, we performed the implementation of semi-extraperitoneal hysterectomy improved 64 cases, with satisfactory results. 1. Surgical methods: remove the abdominal longitudinal or transverse incision, expose and cut the anterior bladder fascia. Separation of uterine bladder peritoneal buckling and the gap, the assistant with warm gauze gently lift the top of the left shoulder off the top of the surgeon with both hands in the index finger gently press the bladder