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1989～1993年7例5～30年前曾做过直肠结肠切除及回肠造口术者再行妇科手术:子宫体腺癌2例,卵巢囊腺瘤1例,卵巢癌1例,子宫肌瘤2例,月经过多1例。患者年龄32～67岁,无保存生育能力的要求。术前常规准备,开腹后见多数病人有严重腹腔粘连,所有病例中子宫与骶骨前凹、肠管、腹膜紧密粘连,附件与骨盆侧壁紧密粘连,因后腹膜严重纤维化所有病人从盆壁边缘到主韧带间触不到输尿管。此手术主要是对腹膜后解剖处理,如能从骨盆侧壁辨认出
From 1989 to 1993, 7 patients who had undergone colorectal resection and ileostomy between 5 and 30 years ago received gynecological surgery: 2 cases of adenocarcinoma of the uterus, 1 case of ovarian cystadenoma, 1 case of ovarian cancer, 1 case of uterine fibroids 2 cases, 1 case of menorrhagia. Patients aged 32 to 67 years old, without the requirement of preserving fertility. Preoperative routine preparation, see the majority of patients after open laparotomy severe abdominal adhesions, uterus and sacrum anterior concave in all cases, bowel, peritoneal adhesions closely attached to the pelvic wall adhesions, due to retroperitoneal fibrosis of all patients from the pelvic wall Urethral to the main ligament between the touch. This procedure is primarily for retroperitoneal dissection, as can be seen from the pelvic side wall