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Gynecological surgery development stage

- Jul 02, 2018 -

一. pelvic mirror

In 1901, Russian gynecologist D.O.ott also underwent frontal lens incision and the posterior fornix was placed in a cystoscope to observe the abdominal cavity of a woman. This is the first pelvic mirror.

二. Diagnostic laparoscopy Jacobaeus.H.C first applied a cannula puncture needle into the abdominal wall in 1910 and introduced air into the abdominal cavity through a cannula, which was then placed in a cystoscope for examination. In 1944, Raoul Palmerjiang of France officially applied laparoscopic surgery to the field of gynecology, and inspected a large number of infertile patients and developed a routine for laparoscopy. In 1963, a monograph was published that systematically introduced some relatively simple operations under laparoscopy, such as tubal ventilation and fluid drainage; simple visceral adhesion separation; tubal electrocoagulation sterilization; endometriosis electrocoagulation , electrocautery and so on.

三. Surgical Laparoscope After entering the 1970s, due to the invention of a cold light source and a fiberglass endoscope, German Semm's artificial pneumoperitoneum monitoring device, an automatic pneumoperitoneum machine, was developed and laparoscopic surgery developed vigorously. Because it is minimally invasive and does not require laparotomy, it is quickly accepted by both doctors and patients. In 1980, Dr. Nezhat from the United States began using a laparoscope for surgery. The operation field is clearly displayed on the screen and the field of vision is expanded. Many doctors can see the operation process at the same time, which facilitates the exchange of technology and research, and also facilitates the cooperation of an assistant and the assistance of anesthesiologists. In the late 1980s, Professor Kurt Semm of Germany invented many new surgical instruments and techniques. Such as: microscopic suturing instruments, irrigation pumps, various pliers, scissors, combination pulverizers, cutters and so on. Nowadays, the methods of hemostasis under the microscope are various: There are advances in techniques such as monopolar coagulation, bipolar coagulation, ligation ferrules, internal suturing techniques, titanium clips, staplers, etc., enabling more complex procedures to be performed under the microscope. In 1988, Reich H performed the first laparoscopic hysterectomy. After that, the scope of gynecological surgery became larger and larger, and almost 90% of gynecological operations were performed under laparoscopy.



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