Shandong provincial hospital performs mini-incisio
Professor Wen Zeqing and colleagues of the department of obstetrics and gynecology adopted an incision of 4-8 cm over the abdominal wall and hysteromyomas of different sizes of 6-16 cm were removed. In contrast, during the routine conventional resection of hysteromyoma, the enlarged uterus was at first moved out of the abdominal cavity and followed by the resection of the myoma, suturing of the uterus with an incision ordinarily of 12-16 cm. The extraction of myoma via mini-incision had changed operative technique by adopting a method of blocking the blood supply of the uterus different from the conventional technique. The myoma was resected within the abdominal cavity. After the myoma was removed, the uterus with decreased size was moved out of the abdominal cavity and repaired. The skin incision was approximated with interrupted horizontal mattress sutures with thin filaments of silk and there was no need of suture thread removal postoperatively. There would no longer be "centipede leg" like suture scar.
As was recommended by Professor Wen this operative procedure could not be substituted by laparoscope operation. The use of the latter was possible to remove myomas of smaller sizes, however, the uterus could not be repaired by using step by step technique; therefore the extraction of hysteromyoma through minimal abdominal incision could be widely used in individual hospitals by well trained gynecologists. Professor Wen had already performed the surgery for more than 30 cases of hysterymyoma with satisfactory results.
(The following photograph shows one of the cases undergone extraction of hysteromyoma via minimal incision of 5 cm and the uterus of the size of 17th week gravid with multiple myomas, of them the largest diameter was of 7.0 cm. The left lower picture showed the repaired uterus and the incision. ), 百拇医药
As was recommended by Professor Wen this operative procedure could not be substituted by laparoscope operation. The use of the latter was possible to remove myomas of smaller sizes, however, the uterus could not be repaired by using step by step technique; therefore the extraction of hysteromyoma through minimal abdominal incision could be widely used in individual hospitals by well trained gynecologists. Professor Wen had already performed the surgery for more than 30 cases of hysterymyoma with satisfactory results.
(The following photograph shows one of the cases undergone extraction of hysteromyoma via minimal incision of 5 cm and the uterus of the size of 17th week gravid with multiple myomas, of them the largest diameter was of 7.0 cm. The left lower picture showed the repaired uterus and the incision. ), 百拇医药