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Total Versus Subtotal Hysterectomy: Advantages and Disadvantages

机译:总与小计子宫切除术:优点和缺点

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The first carefully described abdominal supracervical hysterectomy was performed by Wilhelm Alexander Freund in 1878 and it was the leading technique for over 80 years (1). Tervila (2) described the danger of cervical cancer to be 0.3-1.9% following supracervical hysterectomy. Since 1950, hysterectomy has been performed almost exclusively as total hysterectomy, though since the 1990 interest in supracervical hysterectomy has been reawakened thanks to the introduction ofClassic Intrafascial Supracervical Hysterectomy CISH) pelviscopic and laparotomy techniques (3-9). Earlier, in 1984, Semm described separation of the adnexa pelviscopically to faciliate vaginal hysterectomy; it was at that time called vaginal hysterectomy with pelviscopic assistance (10). In 1989, Reich successfully improved the procedure by including ligation of the uterine artery and removal of the uterus via colpotomy (11).
机译:第一个仔细描述的腹部Suprercalce子宫切除术通过Wilhelm Alexander Freund于1878年进行,它是超过80年(1)的领先技术。 Tervila(2)描述了在Suprercical子宫切除术后为0.3-1.9%的宫颈癌的危险。自1950年以来,几乎完全作为总子宫切除术进行的子宫切除术,但由于由于血清含有血小板上的血管内的子宫切除术术,骨盆和剖腹手术技术(3-9),自1990年对Supractercalics子宫切除术的兴趣已经重新唤醒。早些时候,在1984年,SEMM描述了Adnexa Pelviscoply的分离以促进阴道子宫切除术;当时,当时称为阴道子宫切除术,骨盆辅助(10)。 1989年,以统治子宫动脉结扎并通过多孔术(11)除去子宫内动脉并除去子宫而成功改善了该程序。

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