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标题：Indications and surgical technique of subtotal hysterectomy for a general surgeon practicing in austere environment with limited resources
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作者：Y. Goudard ; V. Canel ; G. Goin 等
期刊名称：Médecine et Santé Tropicales
印刷版ISSN：1157-5999
电子版ISSN：1950-6953
出版年度：2015
卷号：25
期号：4
页码：352-357
DOI：10.1684/mst.2015.0503
出版社：John Libbey Eurotext
摘要：Figures Authors Y. Goudard ¹ V. Canel ² G. Goin ¹ G. Pauleau ¹ P.-H. Savoie ³ E. Hornez ⁴ J. Bordes ⁵ A. Bertani ⁶ P. Balandraud ¹ ⁷ S. Bonnet ⁴ * 1 Service de chirurgie viscérale et générale, hôpital d’instruction des Lavéran, 34, boulevard Laveran, Marseille, France 2 Service de gynécologie-obstétrique, centre hospitalier intercommunal de Créteil, France 3 Service de chirurgie urologique, hôpital d’instruction des armées Sainte-Anne, Toulon, France 4 Service de chirurgie viscérale et générale, hôpital d’instruction des armées Percy, 101 av. Henri Barbusse, BP 406, 92141 Clamart Cedex, France 5 Service d’anesthésie-réanimation, hôpital d’instruction des armées Sainte-Anne, Toulon, France 6 Service de chirurgie orthopédique et traumatologique, hôpital d’instruction des armées Desgenettes, Lyon, France 7 Service de chirurgie viscérale et générale, hôpital d’instruction des armées Sainte-Anne, Toulon, France * Correspondance Key words: subtotal hysterectomy, benign gynaecologic disease, uterine fibroids, limited resources, surgery, Africa DOI : 10.1684/mst.2015.0503 Page(s) : 352-7 Published in: 2015 Uterine fibromyomata in Africa, which represents the most frequent benign uterine disease, is a real public health. This pathology is frequent and most of times discovered at a late stage where the volume of the uterus is responsible for invalidating symptoms that impairs patients’ quality of life. Subtotal hysterectomy, which preserves the cervix, is faster than total hysterectomy and reduces intraoperative (duration of operation, blood loss) and postoperative morbidity (urinary infection, vaginal cicatrization). Subtotal hysterectomy is adapted to countries with limited resources. Its realization requires the preoperative assessment of normal cervix and a regular post-operative follow-up of the cervix left in place.
关键词：subtotal hysterectomy; benign gynaecologic disease; uterine fibroids; limited resources; surgery; Africa