Nerve-sparing in Gynecology

ObjectiveTo demonstrate identification and dissection of the pelvic autonomic nerves in gynecologic surgery.DesignIdentification on the right and left pelvic pelvises, dissection and preservation of the inferior hypogastric plexus in deep endometriosis, and dissection and preservation of the pelvic autonomic nerves in radical hysterectomy.SettingAcademic center.InterventionsRobotic excision of the pelvic peritoneum, excision of deep endometriosis in the uterosacral ligaments, and radical hysterectomy.ConclusionPelvic autonomic nerves are easy to identify with the magnification provided with an endoscopic camera. They should be dissected and preserved whenever possible because of their important function.     

腹腔镜技术在妇科应用的热点问题

腹腔镜技术作为微创的代表因具有视野清晰、切口小、损伤小、出血少、粘连轻和术后恢复快等优点广为接受,其在妇科领域的应用日益广泛和深入。随着手术操作的熟练、手术技巧经验的积累、新的手术设备和机器以及能源的引用,手术指征已经扩展到包含深部浸润型子宫内膜异位症、盆底手术和早期恶性肿瘤等绝大部分的开腹手术,更出现了机器人腹腔镜、单孔腹腔镜以及经自然孔道内镜等更加微创精细的新技术。新手术指征和新技术的应用带来了新的挑战和争议,腹腔镜技术不断向前发展。     

端粒酶活性与妇科肿瘤

分析端粒活性与妇科肿瘤及其良恶性的相关性。方法用银染色端粒重复扩增法测定妇科肿瘤及正常组织中端粒酶活性。结果恶性肿瘤２１例,端粒酶阳性率９５．２４％,良性肿瘤１９例,阳性率３１．５８％;正常组织２０例,阳性率３０．００％。     

Selected Hormonal Agents in Gynecology

Hormonal agents are used to treat many conditions, including endometriosis, amenorrhea, fibroids, and dysfunctional uterine bleeding. Because women visit their care provider for various gynecologic problems more than any other reason, application of therapeutic uses in this rapidly expanding field is essential for nurses working in endocrine gynecology. Strategies for hormone use are discussed in light of the goals of patient education and treatment in the areas of pain relief, fertility, and cycle regulation.