в лучшей визуализации, детальном осмотре органов брюшной полости, Лапароскопическая экстирпация матки с тазовой лимфаденэктомией как. Находите рецепты, советы по дизайну жилья, собственному стилю и другие идеи. In the first series of lectures devoted to an endovideosurgery in urology the information concerning modern terminology, history, indications, possibilities and.
открытыми (проходимыми), для этого необходимо, протолкнуть контрастное скважины ‐ небольшое отверстие в стенке брюшной полости). и внематочную беременность (развивающаяся вне матки) после. 1 - показан график изменения ОВП в открытой посуде: уменьшение ОВП при . полости рта снижают обсемененность микроорганизмами полости рта и резидуальных уретритах, эрозии шейки матки, язвах роговицы, гнойных. Стандартным лечением ранней стадии рака шейки матки является (более ста лет) радикальная гистерэктомия выполнялась в виде открытой скважины"), что позволило уменьшить разрез брюшной полости.
Надвлагалищная ампутация матки пластическая операция при р азрывах . Гистологическое исследование соскоба цервикального канала полости мат .. открытая репозиция внутренней лодыжки менискэктомия операц. Находите рецепты, советы по дизайну жилья, собственному стилю и другие идеи. в лучшей визуализации, детальном осмотре органов брюшной полости, Лапароскопическая экстирпация матки с тазовой лимфаденэктомией как.
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USB2 en. Formulations for topical delivery of bioactive substances and methods for their use. CAC en. USA en. Water for medical treatment, production method thereof, and dialysis apparatus using water for medical treatment as dialysis liquid. They consisted in quality of life and mini-invasiveness and determined a search of alternative approaches particularly for patients with benign gynecological pathology [1,13].
So, several modifications of hysterectomy with resort to laparoscopy were proposed [4,13]. This explained by the opinion that laparoscopic surgery is more complicated, takes longer time, causes more complications and has no advances in comparison to other methods of hysterectomy [2,7]. Duration of operation, volume of blood loss and time of postop-erational recovery were calculated and compared.
Choice of access depended on preoperational examination. They included capacious vagina, pathology confined to the uterus, uterus less than 12 weeks of gestation and its mobility. Laparoscopy was used when the uterus was not bigger that 16 weeks of gestation and on suspicion of involvement of other organs in pathologic process such as endometriosis or adhesions due to previous surgery Beside with this combined method was preferred in absence of two and more conditions for TVH.
TAH was performed in case of contraindications for both TVH and combined vaginal - laparoscopic method. In particular cases MRT were indicated before surgery. The volume of blood loss was determined by the amount of blood in suction reservoirs, duration of operation - from incision to last suture, postopeartional recovery - by subjective feelings and transition to active regimen. In the group of TVH were included patients without clinically expressed descensus.
TAH was performed through lower transversal incision. Combination of laparoscopic and vaginal accesses was reached through two ways: LAVH laparoscopic assisted vaginal hysterectomy and VALH vaginal assisted laparoscopic hysterectomy. The vagina was tightly pluged with tampons afterwards and second laparoscopic stage was started. Laparoscopic access was performed through 4 in some cases 5 trocars and included uterine mobilisation pic. The uterus was removed through vagina or through morcellation when it was too big pic Operation finished with hemostasis control and suturing of vagina vaginally pic.
Comparison and probabilistic estimate between quantitative values in study groups were done by non-parametric rank data analysis U-test. Most of hysterectomy patients in our study were at the age of 41 - 60 years - 57 of 62 women.
In these cases TAH was prefered tabl. VALH performed equally frequent in cases of uterine bleeding and uterine enlargement. Patients who underwent TVH had no history of previous surgery. Extragenital disorders such as cardiovascular diseases were relatively often in TAH group. For TVH patients less blood loss, shorter operational time and relatively quicker recovery was characteristic. This patient was operated traditionally through incision of anterior abdominal wall.
Relatively big sizes of uterus 12 weeks of gestation were documented in 7 patients. It could be concluded from tab. Either combined methods or TAH were preferred when adhesions were suspected tabl. In specialized literature there are several methods of hysterectomy with the use of endoscopic technique [4,13]. Fundamental difference between them is an extent of laparoscopic activity which reflects the stages of evolution of laparoscopy in gynecology and represents consecutive transition from vaginal to total laparoscopic hysterectomy .