Objective To investigate the clinical value of transvaginal enucleation of benign ovarian cysts.Methods Transvaginal enucleation of benign ovarian cysts was carried out in 195 patients with surgical indications between January 2000 and June 2004.Relative surgical parameters were observed and recorded.Results Transvaginal operations were successfully completed in 190 patients,while conversions to open surgery were required in 5 because of massive pelvic adhesion.The operating time was 45~83 min(mean,50 min),the intraoperative blood loss was 30~90 ml(mean,45 ml),the time to first passing flatus was 4~24 hours(mean,8.5 hours),and the rate of postoperative pyrexia,18.4%(35/190).Follow-up for 2 weeks showed that patients resumed daily activities and regular works in a percentage of 72.1%(132/183) and 48.1%(88/183),respectively.Conclusions Transvaginal enucleation of benign ovarian cysts has been shown to be a safe and mini-invasive procedure that improves the(patient's) quality of life.

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.