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经腹小切口女结扎手术,操作简单,易行,效果确切。但手术中组织器官的损伤还常见,例如膀胱、肠管的损伤,卵巢及其系膜的损伤等,其中危害最大的是肠管的损伤,如处理不当或不及时,可发生严重的併发症甚至造成死亡,给计划生育工作带来严重的影响。我们在下乡行经腹小切口女结扎术722例中,膀胱损伤、卵巢系膜损伤各1例,腹壁止血不严2例。现总结经验教训如下: 例1 张××,35岁,已有两男孩,末次分娩至今已14年。现月经后要求绝育。术前体检正常,肥胖型。按常规行女结扎术,由于受术者腹壁脂肪
Transabdominal small incision female ligation surgery, simple operation, easy, the exact effect. However, the operation of tissue and organ damage are also common, such as bladder, bowel injury, ovarian and mesangial damage, etc., of which the most damaging bowel injury, such as improper handling or not, can occur serious complications or even Cause death, have a serious impact on family planning work. We in the countryside through the abdominal small incision female ligation 722 cases of bladder injury, ovarian damage in 1 case of mesangial, abdominal stricture in 2 cases. Now summarize the experience and lessons are as follows: Example 1 × ×, 35 years old, has two boys, the last delivery has been 14 years. After menstruation requires sterilization. Preoperative physical examination was normal, obese. According to the routine female ligation, due to the surgeon abdominal fat