摘要:

Five cases of paravaginal tumors including a neurolemmoma, neurofibroma, lipoma, and desmoid tumors are presented. These tumors were approached through a modified Cherney incision. The rectus muscle was removed from the pubic symphysis and the pubococcygeus muscle was divided. This approach allowed good visualization of the paravaginal space, reasonable blood loss, and avoidance of entry into the peritoneal cavity. Although paravaginal tumors are rare, gynecologic surgeons should be aware of the suprapubic approach tc the paravaginal space.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Fifteen women weighing more than 250 pounds (113.6 kg) underwent laparoscopy. The open technique was used in two patients electively because of repeated pelvic laparotomies through periumbilical incisions. Of the remainder, four had used the closed technique and in nine it was necessary to adopt an open technique. Use of the latter effectively “lengthened” the instruments. Visualization was excellent in all but one subject, and the only complication was a single case of wound cellulitis.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID

摘要:

Recent reports of bipolar sterilization failures have questioned the compatability of bipolar forceps used with different electrogenerators. Four different bipolar forceps were matched and mismatched with five generators and the electrocoagulation effect was studied by two physicians trained in the histologie evaluation of electrical injury. All bipolar systems, matched or mismatched, failed to coagulate the fallopian tube as completely as unipolar control—except for the matched Kleppinger system. Conversely, when mismatched with other generators the coagulation effect of the Kleppinger forceps fell far below that of other bipolar forceps—matched or mismatched. Each bipolar system should be compatible and its electrocoagulation effect studied before it is used for female sterilization.

ISSN:0029-7844    

出版商:OVID    

年代:1987

数据来源: OVID