阴道切除术和盆腔器官脱落:历史和最近的发展
Renaud de Tayrac1, Michel Cosson2
1Department of Obstetrics and Gynecology, Caremeau University Hospital, Nimes, France. renaud.detayrac@chu-nimes.fr.
International urogynecology journal
|May 1, 2024
概括
阴道切除术仍然是盆底手术中的一个关键手术,尽管技术在不断发展. 继续培训阴道外科技能对于全面的患者护理至关重要.
科学领域:
- 妇科 妇科医生 妇科
- 手术创新 在外科创新.
- 盆地地板重建的重建
背景情况:
- 阴道切除术 (VH) 有着悠久的历史,在20世纪中期出现了重建性手术.
- 在一次例行性手术中,VH在形手术中的作用,现在正在争论中.
- 骨盆器官脱落管理已经随着新的手术方法而发展.
研究的目的:
- 审查关于在骨盆器官脱落手术中的阴道切除术的历史和当前证据.
- 讨论正在进行的关于VH在脱落管理中的实用性的辩论.
- 突出外科手术进步对VH利用的影响.
主要方法:
- 综合文献综述. 这是一个全面的文献综述.
- 对VH和骨盆器官脱落的专家意见的分析.
- 历史视角和当前证据综合.
主要成果:
- 与腹腔镜切除子宫相比,阴道切除术是治疗良性妇科疾病的优越技术,尽管更复杂.
- 像vNOTES这样的新兴技术可能会增加阴道切除术率.
- 静脉动脉仍然是骨盆底重建手术中的重要手术,建议患者就子宫节省选项进行咨询.
结论:
- 培训阴道外科技能对于住院医生至关重要.
- 确保安全,经济有效和全面的患者护理至关重要.
- 阴道切除术仍然是骨盆重建手术的重要组成部分.
相关概念视频
Tracheostomy: Procedure and Tubes
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Decannulation
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...


