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首页> 外文期刊>BJOG: an international journal of obstetrics and gynaecology >Efficacy of laparoscopic subtotal hysterectomy in the management of menorrhagia: 400 consecutive cases
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Efficacy of laparoscopic subtotal hysterectomy in the management of menorrhagia: 400 consecutive cases

机译:腹腔镜子宫全切术治疗月经过多的疗效:连续400例

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We would like to respond to the comments made by Balvinder Sagoo and Pakarian.All modalities for treatment of menorrhagia are provided in our unit including endometrial resection, Thermachoice and Novasure endometrial ablation, abdominal, vaginal and laparoscopic hysterectomy. Furthermore, the standard booking form for hysterectomy has a mandatory entry field where the clinician has to justify why the hysterectomy booked is not through the vaginal route in accordance with the National Institute for Clinical Excellence guidance. A few of these cases had co-morbidity such as endometriosis, bowel adhesions and large fibroids that made the clinicians suggest a laparoscopic subtotal hysterectomy as the preferred option. On average, the length of stay for vaginal hysterectomy in our unit is between 2 and 4 days, and we suspect that the minimal hospital stay has made the laparoscopic hysterectomy more attractive to women.
机译:我们想回应Balvinder Sagoo和Pakarian的评论。我们单位提供了所有治疗月经过多的方法,包括子宫内膜切除术,Thermachoice和Novasure子宫内膜消融术,腹部,阴道和腹腔镜子宫切除术。此外,子宫切除术的标准预订表有一个必填字段,在此字段中,临床医生必须根据国家临床卓越研究所的指导说明为什么预订的子宫切除术不通过阴道途径。这些病例中有少数合并症,例如子宫内膜异位,肠粘连和大肌瘤,使临床医生建议将腹腔镜次全子宫切除术作为首选。平均而言,我们单位阴道子宫切除术的住院时间为2至4天,我们怀疑最少的住院时间已使腹腔镜子宫切除术对女性更具吸引力。

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