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Total laparoscopic extirpation of a fixed uterus from benign gynecological disease

机译:妇科良性疾病彻底切除腹腔镜固定子宫

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摘要

Frequently, a fixed pelvis is encountered that is caused by a benign disease, either severe endometriosis or severe adhesions with or without fibroid uterus. We present two cases of nulligravida and multiparous women who had absolute frozen pelvises with no motion whatsoever of their pelvic structures on bimanual examination. Conventionally, these patients would have been approached by open hysterectomy only. We do not consider a frozen pelvis from what appears to be a benign case a contraindication to the laparoscopic approach.
机译:通常会遇到由良性疾病引起的固定骨盆,这种疾病可能是严重的子宫内膜异位症,也可能是有或没有子宫肌瘤的严重粘连。我们介绍了两例原产妇和多胎妇女,经双侧检查,她们的骨盆结构完全冻结,绝对没有冰冻的骨盆。传统上,这些患者只能接受开放式子宫切除术。我们不认为从良性病例中取出冷冻的骨盆并不是腹腔镜手术的禁忌症。

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