Amputation of the uterus without appendages supravaginal abdominal

Amputation of the uterus without appendages supravaginal abdominal

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Amputation of the uterus without appendages supravaginal abdominal.

INDICATIONS:fibromyomauterus, uterine bleeding. Anesthesia: endotracheal anesthesia, epiduralanesthesia.ESSENCE OF OPERATION - removal of the uterus without appendages at the level of ext. pharynx. MAIN STAGES OF OPERATION. After disinfection and “protection” of the surgical field with sterile underwear, the anterior abdominal wall is opened in layers from navel to womb.

Visually and palpatorno study the state of the pelvic organs, if there are adhesions, dissect them. The uterus hands out into the abdominal wound and fix. They cleave, cut and ligate on both sides their own ligament of the ovary and the fallopian tube together, a round ligament separately.

Cut through the front piece of the wide ligament along the edges of the uterus on both sides and the blister uterine fold of the peritoneum, followed by separation of the latter downwards.Then the uterus is tightened anteriorly and upward, after which the posterior leaflet of the wide ligament is cut along the edges of the uterus from top to bottom to the inside. pharynx cervix. Clement, cut, and ligate the vascular bundles on both sides at the level of ext. pharynx. The uterus is wedge-shaped and amputated above the sutures placed on the uterine vessels.

Knotted catgut sutures are applied to the remaining cervical stump. Then proceed with the peritonealization of the parametrium on both sides of the purse-string suture so that the stumps of the appendages and round ligaments are immersed inside.

Further peritoneal cervical stump. After checking hemostasis, the abdominal cavity is sutured in layers. The postoperative period is the same as after abdominal cavity surgery (seeExtirpation of the uteruswithout appendages abdominal).

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  • Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal

    Amputation of the uterus without appendages supravaginal abdominal