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半腹膜外子宫切除术由日本品川氏于1961年首先应用,此后国内外屡有报道,我院于1989年2月至1990年8月施行此术29例,现将具体做法及体会简述于后:一、手术要点(一)术前准备:同腹膜内全子宫切除术。(二)麻醉方式:硬膜外腔连续麻醉。(三)病人体位:平卧位。(四)手术步骤:1.切口:于脐耻间正中纵切口、逐层切开皮肤、皮下脂肪、腹直肌前鞘,钝性分离腹直
Half of the extraperitoneal hysterectomy Shinagawa in Japan by the first application in 1961, after repeated reports at home and abroad, our hospital in February 1989 to August 1990 29 cases of this operation, the specific practices and experience will now be outlined in After: First, the main points of surgery (A) Preoperative preparation: with intraperitoneal hysterectomy. (B) anesthesia: continuous epidural anesthesia. (C) the patient position: supine position. (D) surgical procedures: 1. Incision: In the middle of the umbilical ascending incision, layer by layer cut the skin, subcutaneous fat, anterior rectus sheath, blunt dissection abdominal