{"id":5927,"date":"2025-06-03T09:01:52","date_gmt":"2025-06-03T00:01:52","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/06\/03\/5927\/"},"modified":"2025-06-03T09:01:52","modified_gmt":"2025-06-03T00:01:52","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ec%8b%a4%ec%8a%b5-%ec%88%98%ec%88%a0%ec%8b%a4-%ec%bc%80%ec%9d%b4%ec%8a%a4%ec%8a%a4%ed%84%b0%eb%94%94-tlhtotal-laparoscopic-hysterectomy","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/06\/03\/5927\/","title":{"rendered":"\uc131\uc778\uac04\ud638\uc2e4\uc2b5 \uc218\uc220\uc2e4 \ucf00\uc774\uc2a4\uc2a4\ud130\ub514 TLH(total laparoscopic hysterectomy)"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

\u2160. \uc218\uc220 \uc804 \ud655\uc778 \uae30\ub85d (\uc218\uc220\ud658\uc790\ub9de\uc774)
\n\u2161. \uc218\uc220\uac04\ud638\uc0ac\ub840 \ub300\uc0c1\uc790 \uc218\uc220 \uc774\ud574<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

1. \uc9c8\ubcd1\uc5f0\uad6c
\n[ \uc790\uad81\uadfc\uc885, uterine myoma ]
\n1. \uc815\uc758
\n– \ud3c9\ud65c\uadfc\uc138\ud3ec\uc5d0\uc11c \ubc1c\uacac\ub418\uc5b4 \uadfc\uc885 \ub610\ub294 \ud3c9\ud65c\uadfc\uc885\uc73c\ub85c \ubd80\ub984
\n– \uc790\uad81\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \uc591\uc131\uc885\uc591 \uc911 \uac00\uc7a5 \ud754\ud568<\/p>\n

2. \uc6d0\uc778
\n– \ud655\uc2e4\ud558\uc9c0 \uc54a\uc73c\ub098 \uc5d0\uc2a4\ud2b8\ub85c\uac90\uc5d0 \uc758\uc874\ud558\uc5ec \uadfc\uc885\uc774 \uc131\uc7a5\ud558\ub294 \uac83\uc73c\ub85c \ucd94\uce21
\n– \ub09c\uc18c\uc758 \uae30\ub2a5\uc774 \uc655\uc131\ud560 \ub54c \uadfc\uc885\uc774 \uc798 \uc790\ub78c
\n– \ucd08\uacbd \uc774\uc804\uc774\ub098 \ud3d0\uacbd\uae30 \uc774\ud6c4\uc5d0\ub294 \ubc1c\uc0dd\uc774 \ub4dc\ubb3c\uba70 \ud3d0\uacbd\uae30 \uc774\ud6c4\uc5d0 \uadfc\uc885\uc758 \ud06c\uae30\uac00 \uac10\uc18c\ud558\uae30 \ub54c\ubb38<\/p>\n

2. \uc218\uc220 \uc801\uc751\uc99d
\n\u25cf Adenomyosis<\/p>\n

[ \ub9c8\ucde8\uc885\ub958 ]
\n\u25cf \ub9c8\ucde8 \uc885\ub958: general \ubd80\ub9c8\ucde8(-)<\/p>\n

[ \uc218\uc220\uc18c\uacac ]
\n\u25cf uterus: enlarged d\/t adenomyosis
\n\u25cf Rt ad~ colon adhesion both ovary& salpinx: non specific<\/p>\n

[ \uc218\uc220\uacfc\uc815 ]
\n1. \ud658\uc790\ub294 supine position\uc5d0\uc11c foley catheterizaion \uc2dc\ud589\ud558\uace0 drapping \ud568
\n2. umblicus\uc5d0 2cm vertical incision\uac00\ud558\uace0 glove port insertion\ud568
\n3. pelvic findings
\nuterus: enlarged d\/t adenomyosis Rt ad~ colon adhesion both ovary& salpinx: non specific
\n4. both fallopian tube, tuboovarian ligament\ub97c ligasure, bopolar\ub85c coagulation\ud558\uba70 cut
\nround ligament\ub3c4 \uac19\uc740 \ubc29\ubc95\uc73c\ub85c cut\uc2dc\ud589\ud568
\ncardinal ligament\ub97c dissection\ud558\uc5ec coagulation and cutting
\n5. RUMI \uc790\uad81\uc18c\uac01\uae30\ub97c \ud658\uc790\uc758 cephalad\ucabd\uc73c\ub85c \ubc00\uc5b4\uc62c\ub824 kop cup\uc758 \uc704\uce58\ub97c \ud655\uc778\ud6c4 unipolar hook\ub97c \uc774\uc6a9\ud558\uc5ec \uc790\uad81\uacbd\ubd80 \ud558\ubd80\uc758 \uc9c8\uc6d0\uac1c\ubd80 \ubd80\uc704 \uc804\ud6c4\ub97c \uc808\uac1c\ud558\uace0 \uc591\ucabd cervicovaginal angle \ubd80\uc704\uc758 uterine vessels\uc744 bipolar forcep\uc73c\ub85c coagulation and cutting \ud558\uc5ec \uc790\uad81\uc744 \uc644\uc804\ud788 \uc808\ub2e8\ud568<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 \u2160. \uc218\uc220 \uc804 \ud655\uc778 \uae30\ub85d (\uc218\uc220\ud658\uc790\ub9de\uc774) \u2161. \uc218\uc220\uac04\ud638\uc0ac\ub840 \ub300\uc0c1\uc790 \uc218\uc220 \uc774\ud574 \ubcf8\ubb38\ub0b4\uc6a9 1. \uc9c8\ubcd1\uc5f0\uad6c [ \uc790\uad81\uadfc\uc885, uterine myoma ] 1. \uc815\uc758 – \ud3c9\ud65c\uadfc\uc138\ud3ec\uc5d0\uc11c \ubc1c\uacac\ub418\uc5b4 \uadfc\uc885 \ub610\ub294 \ud3c9\ud65c\uadfc\uc885\uc73c\ub85c \ubd80\ub984 – \uc790\uad81\uc5d0\uc11c \ubc1c\uc0dd\ud558\ub294 \uc591\uc131\uc885\uc591 \uc911 \uac00\uc7a5 \ud754\ud568 2. \uc6d0\uc778 – \ud655\uc2e4\ud558\uc9c0 \uc54a\uc73c\ub098 \uc5d0\uc2a4\ud2b8\ub85c\uac90\uc5d0 \uc758\uc874\ud558\uc5ec \uadfc\uc885\uc774 \uc131\uc7a5\ud558\ub294 \uac83\uc73c\ub85c \ucd94\uce21 – \ub09c\uc18c\uc758 \uae30\ub2a5\uc774 \uc655\uc131\ud560 \ub54c \uadfc\uc885\uc774 \uc798 \uc790\ub78c […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10610,10609,1480,1485,4681],"class_list":["post-5927","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-tlh","tag-10609","tag-1480","tag-1485","tag-4681"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/5927","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=5927"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/5927\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=5927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=5927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=5927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}