Use of artery-sparing high-site transvaginal subtotal hysterectomy in 23 cases of uterine body leiomyoma
- VernacularTitle:子宫体肌瘤保留子宫血管的阴式高位次全切除23例
- Author:
Weigao YAN
;
Huaiying MAO
;
Hui ZHAO
- Publication Type:Journal Article
- Keywords:
Uterine body leiomyoma;
High-site transvaginal subtotal hysterectomy;
artery-sparing
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of artery-sparing high-site transvaginal subtotal hysterectomy(TVSH) for the treatment of uterine body leiomyoma.Methods High-site transvaginal subtotal hysterectomy with the preservation of bilateral uterine arteries was performed in 23 patients with uterine body leiomyoma from January 2002 to December 2004 in this hospital.The vesicouterine peritoneum was opened through the vagina to mobilize the uterus outside.With bilateral uterine arteries preserved,the muscular layer was opened 1 cm medial to the uterine horn until the site 3 cm above the isthmus of the uterus.Then wedge resection of the anterior and posterior uterine wall was conducted with the endometrium 2 cm in thickness preserved.Results All the operations were successfully completed without conversions to open surgery.The operating time was 45~80 min(mean,55 min),and the intraoperative blood loss was 80~250 ml(mean,150 ml).The time to first passing flatus was 6~27 h(mean,11 h).The length of postoperative hospital stay was 3~8 d(mean,4 d).The pyrexia rate after operation was 8.7%(2/23). Normal sexual life recovered within 3 months in 18 patients.Conclusions Artery-sparing high-site TVSH has advantages of high safety,effectiveness,minimal invasion,rapid recovery,and fewer complications.
