Operation from the vision of the uterus and the period of operation: demonstration, inheritance, acceleration. Operations in gynecology: type of operations.

In the midst of the numerical incapacitation of the female statistic system, there are often such situations, as it is possible for you to find yourself alone. surgical engagement... With all the gynecological operations, it is possible to add to the planned and extravagancies.

1. Extras are carried out immediately if a pathology is established, as a term is required. For example, when the operation was guilty, it was carried out as well, which could lead to a lethal result.
2. In case of planned ones, the preparation of gynecological ailments is carried out in advance (peredoperatsіyna), yak polyagaє in retaliation. So, before carrying out a gynecological operation, the woman has a number of analyzes: shelter, slaughter, EKG, ultrasound. So, during the gynecological operations, the back anesthesia is stagnant, and later on to clarify the tolerance of the patient's quiet medications and the appearance of the operations in the anamnesis.

There are 2 main types of gynecological operations:

• empty;
• small.

The main insight of these fields in the offensive is: when the first one is done, the growth of the woman’s wall is possible, and when the other is done, the access is made through the pickup.

Carrying out empty gynecological operations, before transferring a woman to the hospital, before the operation is carried out.

Before carrying out the operation of the obov'yazkovyu washout є catching up with the mode of harvesting. So, when preparing to a gynecological operation, a woman will be able to get a firm grip. For 12 years before the surgical engagement, the women are recognized as having passed the time. If a woman is very sick before the operation, she will zaspokilivi zasobi... As a matter of fact, a gynecological operation is performed on the empty intestines and sečoviy mikhur.

Small gynecological operations

Until this type of surgical involvement, all operations are carried out, for which the organ is operated - the uterus, more precisely - the uterus.

So to finish the operation often, to be carried to this type, є plastic surgery of the cervix of the uterus in the middle part. It is carried out in case of vivorosis, as well as in case of hypertrophy and old chicks.

The Danish type of gynecological operations is carried out in case of diagnosed polyps. Deformity of the cervix, as well as bleeding and damage, may develop in case of an unfortunate surgical intervention. menstrual cycle... Besides, polyp is often є in front of cancer patients... As a rule, given gynecological operations are carried out by laparoscopy.

Colpoperinenoplasty is also a type of small gynecological surgery. It is carried out for the manifestation of imperfection and for the lowering of the symptoms, as well as the organs of the small pelvis. Polyaga in the suturing of mussels, localized in the intermediate, and in the stems of the pits.

Before the most often, there is an accelerated rate of adhesion due to gynecological operations, symptoms such as є to pull, without interruption for the next hour, pain.

Renovation (rehabilitation) of empty gynecological operations for an hour. Vona includes a complex of visits that are straight on the yaknaishvidsh turn of a woman to a vicious life. I especially respect the idea of ​​the performed empty gynecological operation to come to the prevention correct food... The first hour the woman is guilty of seeing children and unique important physical navantages.

As soon as all women in front of the operation, seeing the uterus, they see fear: how to undergo the operation, what if you do not think it will be slowed down, you will be light anesthetized ...

If the operation is successful (and you will be so, do not hesitate), get up and allow the next day to go to work. Yaksho Bula laparoscopy - then navigate on the first day.

For the help of the "system" you should introduce antibiotics and antibacterials. The price is necessary for normal rehabilitation. You may have a temperature - do not kick.

If you vipisuyut? Tse even more individual food: as soon as the laparoscopy was carried out - then even after 2 days at a time of day. In the case of other types of operations, the term can be delayed up to 6 times. In the middle, for the renewal of your body, it will be close to 3 types.

And now let’s take a break from what to lay down the mill for the operation?

Are there any real legacies of the uterus surgery?

First days

The operation to finish is serious, so it is carried out in the minds of the stationary. In the same place, the patient will go for a few days (with laparotomy - for 8-10 days, until the shviv).

legacy of anesthesia

To improve the speed, it is necessary to prepare and prepare, and in the process and during the operation - the literacy of the anesthesiologist. Let the anesthesia be tolerated well. I can nuditi in the first years or I will add it.

Bil in the first days is significant: in the belly, and in the area of ​​women. This is a sign of strong analgesics.

small advices tila temperature

It is normal to get into subfebrile - the temperature is not higher than 37.5.

Confirmation of thrombus and thrombophlebitis

For prophylaxis, they use compression panchochies and give anticoagulants.

Robotic intestinal damage, blood congestion in the pelvic area

To be unique, I recommend maximum activity: get up and walk the same day for the operation (and also the whole laparoscopy is done after a few years). A particularly sparing day is required, until the renewal of the normal style.

traumatic urethritis

You can get ridiculous pain in case of sesovipuscan, tied with mucous membrane of the urethra.

Infectious diseases accelerated

Filling of the operative scar, suppuration, loosening of the seams, including and internal. When the development is fired into a black empty, peritonitis, which is threatening with sepsis, is repaired. Uninvolved at all, come in to ensure that sterility is secured, the risk of infection is dependent, so urge to prophylactically sign a course of antibiotics.

bleeding

Brown vision, how to smear the text of the operation is the norm. If there is a chervon's roof, in clots, it appears and accumulates in the black empty - it is required terminova help That is why one shkodzhenі or kіlka sudin.

pershі tizhnі

Pislya vipiski from a likarnі zhіnka for a month-pіvtora otrimu licorice leaf... To help the organism be renewed, it will come to the next:

wear a bandage

Vibrate the model of the attached bandage, which overlaps the weld area. Shvi will either get wet yourself through the copy of the month, or know the surgeon (call in ten days).

Do not overstrain or overstrain

Stretching as a minimum of two months during the operation, it is not possible to carry more than 3 kg for an intensive physical robot (including sports). In addition, internal seams can grow, which will block with bleeding, burned out, and grids.

Dotrimuvatisya article spokiy

With a stretch of the author-two months, the sexual life is overwhelmed by the fence.

I respect the beasts for the sight of pikhvi

Greasy brown visions are captured by a stretch of decalcifiers. Drive for thermic beef to liquor: unpleasant odor, Vidіlennya, scho nagaduyut myasni pomii, Chervona shelter, growing clots. It is possible to corrode with hygienic pads, but not once for 4-5 years, but with tampons it is not possible.

Engage in gymnastics

Schob zmіtsniti mu'azi pіkhvi і pelvic floor, in a specially fragmented complex - to the right of Kegel. After three months of operation, you can go in for sports. It is especially recommended to consider new options: dance, yoga, swimming, training and fitness training.

bathe properly

Persons of 4-6 types can only take souls. Baths, saunas, openings, water and swimming pools emerge from the fence.

Dotrimuvatis kids

It is not possible to allow the belly to be sick, so it is recommended to live better than licorice, flour, other products, and drink gas (black bread, cabbage, beans). Constipation can be unacceptable, so you need to eat fresh fruits and vegetables, whole-grain baked goods, and plenty of ridini. Vylyuchayutsya dratіvlivі products: mіtsnіy tea і kava, alcohol, greased, pickled, smoked, fatty herbs. Briefly, it’s necessary to bring your race to the ideal of healthy eating.

Chi do not fall into depression

Most often women are victims of zaboon. The stench of spinning, having sucked in the uterus, becoming uncomfortable, not being able to lose sexual urge ... The majesty of the ma pidtrimka of loved ones, especially the cholovіka. Overcome the triviality and depression of additional assistance with a psychologist, or a discussion on the forums with women, they also transferred a similar operation.

More miscellaneous and rocky

Debauchery before the operation

• zagalny... X-ray legends and spirography, electrocardiogram and tonometry. also to be built zagalny analiz blood and biochemistry, including converting the larynx of blood, glucose levels, hormones, as well as establishing a group and rhesus, revealing the appearance of VIL, hepatitis and venereal ailments. In case of emerging problems with the side of the dichotomous, heart-vascular, endocrine system, it is almost necessary to undergo additional conditions for the fahivts.
• Gynecology. Ultrasound of the small pelvis; colpocytology; smears on microflora; look around the uterus. Iakshcho є for oncology, magnetic resonance imaging, biopsy and histological prescription. And also it is necessary to switch Infectious diseases sectional system.

Preparation before the operation with the uterus

• Zazvychay, 3 days before the surgical engagement to see the children. With ratsionu viklyuchuyut rude, as revenge on the cell and grain of the fiber. Including fenced vegetables and fruits in new viglyad, Zhitniy Khlib and Beans.
• The day before the operation, see children No1. On the menu there is only rubbed rydka їzha.
• On the day of hysterectomy, it’s impossible to drink at all times, and you can’t get rid of the blues before an hour of anesthesia and eating in a brisk way.

Methods and operations

There are three methods of operations according to the technical specification:

• open screen... Schob reaches the body, surgery to rob the growth of the abdomen. I would like to use the method of victorization often, but a new minus has a great traumaticity of patients, to finish a great operative scar on his stomach.
• vaginal... The appearance of the uterus to pass through the tree, the woman is quickly renewed. In some cases, the vicarious method is infrequent, so as there is little proof - not to go to the children, in some of the caesar's rostin, mayut evil new, Combined pathology, ignition processes and great size of the uterus.
• laparoscopic... Naybilsh sparing way. For carrying out the operation, the equipment and tools are used. Before the hysterectomy, through a small opening, a special tube should be introduced and it will live with gas, so the wall of the queue has grown, and the uterus has become visible. Then, through small sizes, insert the tubes, through them in the middle to lower the cameras and instruments.

The triviality of the operation is to lay down due to the folding of ailments and an accelerated period of time. Porozhninnoy method of borrowing is 40 khilin up to 2 years, laparoscopic - 1.5-3.5 years, vaginal - 2 years.

pislyaoperatsіyna dіeta

• She is guilty of being of a kind or a bit like consistency.
• The amount of ports_y is not great.
• Number of receptions per day - 6-7.
• Drink 2 l drink water doba.

The ratsioni is not guilty of being:

• mushrooms;
• smoked meats and food products;
• greased strains;
• good, confectionery virobes, white hlib;
• s drinks - gas water, black tea, kawi

period of operation

• During the operation, 2 months of heavy weight were hardened.
• Introduce the pool, spa, saunas allowed for 6 months.
• The state of life is allowed for 4-6 times during the operation, as long as the vision does not end.
• The term is not suitable for 30-45 calendar days;

Beads of the uterus

• The infusion of climax is immediately visible to the body with the help of concomitant signs.

  I’m seeing you in to a young person That means hormonal therapy. Take your hormones and take a trivial hour.

• Risks to the development of osteoporosis, heart failure, and the uterus take part in the robotic endocrine system.
• Waste of the second function. If it’s a plus for a big adult, then it’s a tragedy for women who are going through a child’s day. That is why I would like to assess all factors, persh nizh raditi tsei radical way.
• Spike processes, such as superficial pains, damage to secular loss and defecation.
• There are psychological problems that can be seen by women during the operation.

Video: Life of the uterus

If there is a liquor to blame the verdict: "The uterus needs to be seen," the woman will take a lot of it. Bezperechno, the operation - the price of a rapist involved in the organism of the people, and the vision of the uterus can be said to be private. Ale not everything is so scary, and a lot of children will fix it after a surgical procedure new life, Yak in the direct, as well as in the figurative sense.

Shown how to start the operation

Hysterectomy - this is the scientific name for uterus visualization, nicoli is not carried out just like that, "for prevention." The uterus is seen with appendages, so without them it is carried out strictly behind the show. First, if you have a license / license, you are going to play it, then you wait a little while with your thought. Zhintsi recommend surgical intervention in case of:

• bad uterine fluff
• malignant lesion of the cervix
• symptomatic uterine myoma
• growth of uterine myomes, transplanting 12 types of vaginosis
• quick growth of myomi (the size of the uterus grows in 12 months for 4 days of vaginosity)
• necrosis of the uterus myomy
• submucous uterine myoma
• menorrhagia, accelerated anemia
• grade 3-4 adenomyosis
• change stat
• chronic pain syndrome in the small pelvis
• vipadania of the uterus
• ailment of endometrium without polystyrene from conservative therapy and dispensaries

So you need it?

Lykar is a napolyag on hysterectomy, and the child is categorically against it, how is it?

• In the first place, next to consult with the third, tenth. It is possible, that the lukuchiy lykar of ailments will be merciful.
• In another way, there are some options, as they suppress hysterectomy, and conservative myomectomy and embolism of uterine arteries are introduced to them.
• Third, look at all the positive and negative sides of the present hysterectomy.

Conservative myomectomy is good, since it allows you to preserve the organ, the nature's signs for a child, and to be carried out by women in a child's life. Until negative moments, the possibility of growing new myomatous universities and practically before menopause (at least until the menopause) is observed by a gynecologist. Who should undergo conservative myomectomy:

• the appearance of a myomatous higher education institution in the lower part of the uterus
• (2 and more cases of self-change) and no reason (for any reason or obvious desire for 1 university, the size of which to change is 4 cm)
• disruption of the menstrual cycle, which leads to bleeding and anemization of ailments
• great size of universities miomi (transverse 10 cm)
• dysfunction sectional mikhuraі / abo the intestines for the rakhunnya vznomu miomi

Operation of embolization of uterine arteries

get in innovative technology, I would like to know that it was in the 70s of the 20th century. The essence of embolization of polyagus in catheterization stegnova artery Then the catheter can reach the uterine artery (under the control of X-ray), and the distance from the center of the catheter to the uterus, which will supply blood to the myomi's institution.

The introduction of special drugs through a catheter, a blockage in other vessels, which can lead to myomatous universities and reduce blood circulation in them. Embolization of the uterine arteries is an excellent alternative to the operation of visualization of the uterus, so as to identify the growth of universities, and to find their changes or knowledge.

I will give the operation a test in case of the presence of a growing uterus up to 20 types, even if there is a sickness in the uterus and uterus, and women, in others, are overwhelmed by my home. In addition, embolization of the uterine arteries is indicated for uterine bleeding, clutter up the life... However, be aware of the situation, if the hysterectomy from the drive can be replaced by the other:

• submucous uterine myoma
• great growths of the uterus
• admission of myomi with internal endometriosis and eggs of eggs
• persistent bleeding, which can lead to anemia
• zrostayucha pukhlina

Positive sides of the operation with the uterus

Persh, nіzh zvazhitsya on the operation of seeing the uterus with appendages or without, then honor all the pluses and minusi. Before positive sides hysterectomy can be carried out:

• the duration of menstruation and problems with them
• no need for contraception
• pain and bleeding, which greatly facilitated life
• zakist vіd uterine cancer (no organ - no problem)
• reduction of vagi, ringing of talia

To admit the negative moments

• rozladi psychomotsіynі
• scar in the lower abdomen
• the triviality of pain during the operation to become 3 - 6 - 12 months
• hitting the statuesque calmness of triviality 1.5 - 2 months
• bilsh early nastannya klimax
• risk development of osteoporosis and heart pathology 5 years earlier

Butt in practice: I had one child of a child who was sick, and she endlessly bothered me about abortion (div.). Behind my uterus, there was a spike of rock on the edge of the womb. In the wake of the Chergovian change in the vaginosity, the situation has greatly accelerated: in the motherland there is an interstitial university, which has practically blocked the education in the isthmus region. Viskrіbati was brought with great difficulties and risiks. I put the patient in front of the fact that it is necessary to amputate the uterus in order to shy away in the area of ​​the doctor. When the hospital was sent to you, call me: “I’m talking about conservative myomectomy, but you said you need an amputation of the uterus, how can you be?” Evidently, I, like a lykar, am guilty of fighting for the protection of the organ, ale, like a lykar, I was categorically opposed. Would you like an abortion to rob a woman? Ale Likarі cloudy likarna we have seen the protection of the patient's reproductive function and the uterus has been deprived of the uterus. Well done, well done. Ale from food: if the woman wanted to be people, she didn’t have more than a dozen abortions? Well, the uterus is not needed. And the child, before the speech, she has already bouv, rokiv 15. At the very least, she has moved to the other place and has passed through the field of vision.

Znebolyuvannya with hysterectomy

Vykonuyut uterus under zagalny anesthesia. There are 2 ways to get stuck up:

• internal anesthesia (with intubation of the trachea and out-of-the-way self-reliance)
• and regional anesthesia (spinal and epidural anesthesia).

Internal anesthesia is often stagnant during empty operations (if the uterus is seen by a path through the anterior cervical wall). Overshoot of such a zeniebolyuvannya are stored in a very young patient, in the daytime in pain and in good control of the sickness.

During laparoscopic surgery with the visualization of the uterus and vaginal hysterectomy, regional anesthesia is performed in two ways. Conducting spinal anesthesia for anesthesia for a disease of the lower part of the tulub of ailments, and for maximum relaxation of the abdominal muscles, with an epidural anesthesia for a disease, it was insisted in a day, but the operation was allowed to allow Sickness for an hour when the regional anesthesia is carried out in witness, but not in pain.

It’s crazy, when you vibor anesthesia, we’re going to be a patient, urgent situations, we’ll get a job done and trivial. An hour of operation in a smart way, and it can be from 40 khvili up to 3 years.

see hysterectomy

The visualization of the uterus is not just a liquidation of a sick organ, as it is often the case that hysterectomy is similar to the visualization of the anatomical statements. Regardless of the performed operation of the operation,

• subtotal - amputation of the uterus
• total - surgery for visualization of the cervix and the uterus itself (extirpation)
• hysterosalpineovarioectomy or pangisterectomy - visualization of the uterus and cells with appendages, cervix
• radical - the uterus with the appendages, the upper third of the nipples, the pelvic cells, the uterus will drain away and the regional lymph nodes

It is fallen, in a different way, to gain access, to expand the appearance of the uterus:

• laparotomic hysterectomy (the uterus is seen through late or lateral growth of the abdominal wall)
• visualization of the uterus laparoscopically (a puncture, from 2 to 4, in the abdomen, through which a laparoscope and instruments are inserted)
• vaginal hysterectomy - access to the affected organ through the passage
• vaginal visualization of the uterus with laparoscopic assistance

Radical operation of hysterectomy carried out in the case of a malignant uterus with a transition to a shyka, or at a malignant process of the uterus. Total hysterectomy is necessary in case of significant size of the uterine myome, widened endometriosis, other diseases (puffiness) of the uterus and shyka, as well as women suffering from 45. To see the appendages of chi ni - often it is not possible to see food before the hour of the operation, if the workers and trumpets can be seen with an everlasting eye.

In a different way, access will be provided, in a large part of the opera house. Ale іnody zhіntsі smell the most vibrant vibration.

Crossings of abdominal hysterectomy- the price of cheapness, reliability, low risk of intraoperative acceleration, the possibility of visibility is practical in any kind of gynecological evidence. Until short-lived: a great scar on the abdomen, the triviality of moving to the stationary (10 dB), the trivial moving period (4 - 6 times).

Before re-entry laparoscopic hysterectomy To be accepted: vipisk after 5 days, short period of time (2 - 4 days), appearance of cosmetic effect (non-scarring), low risk of formation of adhesions in the abdomen, but, also, і less imperfection spike ailments turn pain syndrome... Before the short-lived: the road, the transition to the laparotomy, carried out only in the great schools ( medical centers and institutes).

vaginal hysterectomy it is easier to carry over, there are no scars on the stomach, the last period is shorter, 3 - 4 times, it is practical for the daytime pain of the operation. To the minus to be reported: folding technology is available high risik Intraoperative acceleration

Prototype of hysterectomy

Vidalennya uterus, yєchnikiv, pipes so it is, like all іnshі surgical operations maє contraindication. The list of out-of-town counter-indications includes whether it be hospitals and chronic infectious processes in the stage of aggravation, fired up organs of the state spheres (pichva, cervix of the uterus, appendages and uterus), important chronic extragenital ailments ( cardiovascular pathology, Pathology of the bronchogenic system, and іnshі), vagіtnіst.

Laparoscopic hysterectomy can be performed in case of much larger uterine size or puffy eggs, with multiple adhesions in the black empty space, in the case of uterine growth. Vaginal visualization of the uterus is contraindicated for adhesions, for caesarean rosette, for the presence of a great uterus myomy, for flaming up the uterus, as well as for adolescence on / shyki or for its manifestation.

Preparation before surgery

Before carrying out a hysterectomy, it is necessary to go through a routine, before entering:

• Clinical analyzes of blood and blood
• shelter on zgortanna
• biochemical analysis of blood (cholesterol, blood sugar, glucose, AST, ALT, creatine and other indicators)
• EHC, therapist consultation
• smear from pіkhvi, urethra and uterine cervix on microflora (div.)
• pre-screening on the status of infection by the PLR ​​method (chlamydia, ureaplasma, IDP, herpetic infection and inshі)
• smear for cytology from the cervix of the uterus and from the cervical canal
• colposcopy (with pathology of a shyka)
• shelter for the group and the Rh factor (in the case of a given ma but not less than 1 liter of blood of the necessary group)
• histologic examination
• radiography of the legends
• dentist's advice and sanation of damaged teeth
• Ultrasound gynecological

In some cases (with significant sizes of the uterus myome and swollen endometriosis), for preparation before the operation, hormonal treatment with a term is indicated for 3 or more months with the method of stabilizing and increasing

When there are a few months, it is indicated that there is a likelihood of a disease, in the event that the sickness is taken antiaggreganti, the stench will disappear 10 days before the operation.

For adding to the operation of the patient, style No. 1 is assigned (childish and rubbed), in the evening, cleanliness, and repeat from the wound. On the day of the operation, take a fence with water and water. After the premedication has been carried out, the patient is delivered to the operation (the catheter is inserted in advance and the legs are bandaged with elastic bandages).

Yak carried out by hysterectomy

Yak to undergo an operation to see the uterus cicavit all, without a blame, patients. To develop the information and clarify the nutritional status after the surgery has been done beforehand.

For that, as the woman was transported to the operation, she was put on the operation style and fixed the pictures.

• At the time of the vaginal hysterectomy, the legs of the patient are bent in the knee and tazostegon slopes (like on the gynecological crucible) and are bent to the sides.
• With laparotomic or laparoscopic access, the anterior cranial wall is covered with antiseptic breaks, the ailment is at all hours under anesthesia or during regional anesthesia.

It is carried out in a wider range of growth of the cranial wall, at the same time to assess the situation of organs in the small pelvis (growth of the uterus, localization of universities, the camp of appendages, when suspected of the malignant process, to look around the organisms in the small pelvis)

The rest of the decision about the obsyag of the operation is to be taken by the surgeries as well as the rosette of the abdomen. The uterus and / or the appendages appear, hemostasis and suturing of the cranial wall are performed. If necessary, the empty chambers are drained (rhizic bleeding, peritonitis and obstavini). As soon as the uterus is nominated for the treatment of the uterus, then on the operating table there are antiseptics that are sanded with rods and tampon with sterile servetka.

With laparoscopic visualization of the uterus When the anterior cranial wall is cleaned with antiseptics, 3 (in the middle) small sizes up to 1.5 - 2 cm are circulated in them. internal organs to the great monitor (to the new operatic surgery), and through the second to worms to increase and to introduce special laparoscopic surgical instruments. The process of operation in general does not appear as an abdominal hysterectomy.

vaginal hysterectomy- the price of seeing the uterus through the tree. For aseptic processing of pits, a mirror and podnomnik are introduced into the new one, and a rose is carried out at the upper third. From a technical point of view, the operation of the folding and vimag of the singing main character of the surgeon is given.

Butt in practice:

If I first rocked the overpowering (laparotomic) amputation of the uterus, I went through the first shock, if the uterus grew and died, all in the universities. So I wanted to throw everything and drink, like in the anecdote: "all one nothing is not to go." In principle, the amputation of the uterus is an awkward operation, ale of the water stones lurk in the buried uterine arteries (the stench is blowing along the ribs - the sides of the uterus, albeit with an eye, їkh, for some reason it is not visible). On the uterine artery in the middle of the transfer, 2 lugs are applied from the skin side (on the appearance of one type of one). For what the uterus appears, the uterus arteries liguyutsya, the uterus uterus is sewn into the appendages of the uterus, peritonizes and the anterior wall is sewn up tightly. The first axis, because the uterus was bulging, from one side it gushed out the roof and instantly flooded all life. Tse means that the artery of the bullet is overloaded. Ale khirurg (until further notice) did not bend and overwhelmed the pulsating vessel (on its side it became). Tse buv my other shock before the hour of the operation. Forward operation without expediting, period of operation through smoothly. The sickness was scribbled by handymen for the operation and for those who did not bring it to the region of the hospital.

Triviality and part of the operation

Not least nutrition: "Operation from the uterus: pictures of the cat" is also a post before the woman. It is important to name the singing part of the operation.

• In the first place, you should start by the region, where the patient lives, who is equipped with a doctor, quality material, which is stagnant during the operation, the amount of money involved in the operation of the mind.
• In other words, the price is based on surgical access and type of operation.
• For example, the embolization of the uterine arteries is close to 100,000 rubles,
• Laparoscopic extirpation or amputation of the uterus from 16,000 to 90,000,
• visualization of the uterus with a vaginal path in the fringes of 20,000 - 80,000 rubles.
• The hysterectomy, carried out for an additional laparotomy, is guilty of the bezkoshtovnaya in the clinic for the place of registration, or in regional center, Alle the private clientele are ready to be spent for pennies. The price ranges from 9,000 to 70,000 rubles.

Uterus visualization: pictures of a triangular operation

It is definitely not possible to adapt it to the food chain. The triviality of the hysterectomy is to lay it down, again, as a result of the operation, folding, and acceleration in the course of the surgical procedure and access.

• In the middle of the laparotomic hysterectomy, 40 khvili up to 2.5 years
• laparoscopic trivia 2.5 - 3.5 years,
• vaginal 2 - 2.5 years.

Pislya operatsii

The postal regime of seeing the uterus and / or the appendage of the abdominal path is guilty of the trivia for 24 years. At the end of the first finish, the woman is allowed to get up and carefully oversaturated. Early Rukhova activity activates intestinal motility and progresses to paresis. So, as a result of surgery, especially in pershu doba, bends, analgesics are recognized.

With a prophylactic method, the introduction of antibiotics and anticoagulants is shown. Shvi is known for 8 dobu, and vipisk will be available in 8 - 10 days. The laparoscopy of ailment rises already in 5 - 6 years, before it is released in 3 - 5 days. Elastic banding nig obov'yazkovo in pershu dobu for a surgical engagement, albeit for the whole hour of early work period. Before the independent style of the patient, style No. 1a (wiped and riddled) is assigned, and the intestinal waste is passed over.

Early early:

• internal bleeding of low intensity
• bleeding from the operative suture and the establishment of hematomas
• trauma to the susceptible organs
• thrombophlebitis of the veins of the lower symptoms
• suture suppuration
• vipadannya pikhvi
• іnfіkuvannya sečovypuskalnogo canal і sečovogo mіkhura (inheritance of trivial catheterization)
• peritonitis
• thromboembolism

Lykar obstetrician-gynecologist Anna Sozinova

The operative involvement on the new state organs, on the one hand, on the piece of vaginality (abortion and emergency methods of circumcision) is used in small gynecological operations (Fig. 53-54).

To them are admitted:

• uterine probe (Fig. 53.1);

• enlargement of the cervical canal (Fig. 53.2);

• vyshkrіbannya mucous membrane of the uterus (Fig. 53.3);

• punctuation of the carriage empty through the rear crypt (Fig. 53.4);

• biopsy of the cervix of the uterus and visualization of polyps (Fig. 53.5);

• Operations for pukhlinovyh state organs;

• surgery for kraurosis and leukoplakia vulva;

• operations in case of illnesses of the great zalozi of the front of the day (Fig. 54,1,2)

• visible warts (Fig. 54.3);

• operations for pukhlins and cysts of pikhvi (gartner moves) (Fig. 54.4);

• development of the cervix of the uterus;

• operations in case of a vaginal change (Fig. 54, 5,6).

Fig 53.

1 - uterine probe, 2 - enlargement of the cervical canal, 3 - visualization of the mucous membrane of the uterus (visual polyp), 4 - puncture of the black emptying through the posterior crypt, 5 - biopsy of the uterine cervix

Small. 54.

: 1 - vivid brush of the great zalozi of the front of the day; 2 - roztin to the abscess of the great zolozi of the anterior pikhvi (growth of the shkiri over the abscess); 3 - the appearance of genital warts of vital organs; 4 - kista pikhvi (gartner's move); 5 - piece abortion (seeing a fertile egg with a curette); 6 - piece abortion (seeing a fertile egg with a vacuum extractor).

1. Probe of the uterus

Probing of the uterus - one of the most frequently vicious methods for diagnostics, and one for lykuvalnoy metoyu... Stagnation of wine in the main yak of the cob stage in case of gyncological complications (vyshkryannya mucous uterus, reversal of vaginosity, etc.), as well as with a drug (strictures and atresis in the area of ​​the call).

Technology vikonannya. The cervix of the uterus should be exposed with mirrors and fixed with forceps on the front lip. With a single hand, you can tamp down on the pincers, and with your right hand, you can trim the probe with your great and good fingers. It’s a very important moment when you see it, when you see a jumper, the probe can be attached with your fingers. It is important for the nobility to rotate the uterus: when it is put in the anteversio-flexio, the surface of the probe is turned upward, and in the retroversio-flexio - down. Then we can reach the bottom of the uterus with all ruffs, so that all things can be pulled around.

2. Expansion of the cervical canal

The enlargement of the cervical canal is carried out before the mucous uterus dissection, abortion, operations (manchester, amputation of the uterus shyka, etc.).

Technology vikonannya. Shyka of the uterus should be exposed with mirrors and fixed with forceps (abo Muzo) for the front lip. The widening of the channel is carried out behind the additional metal bougie (expansion of Gegara) from No. 1 to No. 16 (and more), which extends one way to 0.5-1.0 mm. One end of rounding-off, on the same є area from the assigned numbers. Buzhi may be curved, directly as if inserted into the cervical canal in the fallowness from the position of the uterus, as when the probe was introduced (anteflexio-versio, retroflexio-versio).

Expansion of the cervical canal is established in front of the uterine probe. Falsely, for the purpose of widening the canal, it is carried out up to 0.5-2.0 cm and more (abortions in the context of vaginosity, abortion of the mucous membrane of the uterus, etc.). In the surrounding situations, the cervical canal is raised by a path of development.

3. Vishkrіbannya mucous membrane of the uterus

The operation of distillation of the mucous membrane of the uterus is stagnant both for diagnostics and for medical treatment. The most frequent operation in gynecological practice... Unimportant on a wide basis and out-of-the-box availability on the basis of visibility, the whole operation of the supervisor is carried out even more frequently, rather often with foldable inheritance.

To this, before the given operation, it should be placed on the basis of great evidence and knowledge of all the conditions and rules of the publication.

Before the operation, a vaginal follow-up is carried out with a clear assessment of the anatomical and functional status of female body organs.

Technology vikonannya. Shyka of the uterus to be naked with mirrors and to clamor with Musot forceps (or two kulovy) for upper lip... For the proper processing of disinfectants, the mirror changes. A swab, soaked with alcohol, blotted out the last ziv and the cervix of the uterus. Staying behind the forceps of the Muso will move to the bottom and on yourself (when the uterus is in retroflexio-versio, burn and on yourself, so that you will not be able to perforate). The probe is used to measure the emptying of the uterus. The guilty person is easily and illegally introduced, without significant reasons. The cervical canal is displayed by Gegara distributors (one view through the full measure) to No. 10 (with a gynecological check) or great razmіrіv(For abortions). Expansion of the cervical canal can be effective without violence. When twisting the introduction of the wider, the slid will turn to the front smaller size. It is necessary to remember about the direction of the cervical canal when the dilators are introduced: the incidence of expanding burnout when the uterus is in the anteflexio-versio and from the bottom - with retroflexio-versio. I will look around at the center of the opening of the cervical canal, a curette is inserted into the empty space of the uterus. Rukhs of curettes are guilty of such, that the introduction was carried out everywhere, and the vivedennya was shvid. The curette cannot be named in case of cutaneous rus. The posterior wall of the uterus is visibly scrubbed, and then the anterior one. The curettes are guilty of being in the midst of the growing problems, the operation with the larger curette must be repaired, the end is with the mensha. In the end of the operation, a specific sound is heard by scraping the curette against a solid object (the womb wall) along all the uterus walls. During the first days of the day, a board is held. After the end of the viskoblyuvannya is known the forceps and the cervix of the uterus is covered with 5% infused iodine or alcohol.

4. Puncture of the black emptying through the rear crypt

Puncture of the black emptying through the back crypt is often victorious as a diagnostic method for the appearance of young bleeding (pozamatkova vaginitst, opening of the egg), the presence of pus, or of the skin in the root

Punctuation technique. To be naked with mirrors of the cervix of the uterus, to fix with the forceps of Muzo for the back lip and to enter the burn. At the same time, the rear crypt is pulled, which is pierced with a special, full-length gull with a diameter of up to 2 mm. A puncture through the gullet is seen as a soft crunch, and it starts to roll (turn) the heads up-down and left-right. Throwing the heads for the wall is innocent for the star to be more than 1.0-1.5 cm. The message, if you do not go through the head of the line from the black empty, do not go over the head with a syringe. Call the pislya vvedennya golki in the black empty when it is evident in the next line of the left to wiggle through the golku drip or navit struminno. In accelerated situations, it is possible to get the head into the wall of the uterus, into the rectum, or in the middle of the emptying of the small pelvis. In special situations, it is possible to display a system of manipulation without mirror and fixation of the uterus. For the whole of the middle and middle fingers of the left hand, it is inserted into the finger, they press the area of ​​the uterine uterine ligaments of the burn and between the fingers right hand a goal is carried out, which pierces the wall of the rear crypt.

5. Operations for pukhlinovyh state organs

In the area of ​​new state organs, chickens and chin-like statements (fibromi, myomi, lipomy, fibromi, hydroadenoma, angiomy, lymfoangiomy) are rare. Lykuvannya їkh promptly.

Technology vikonannya. With the presence of a little, the rest is tied between the clamps, the chubby is seen. Pukhlini, roztashovani in comrade fabrics, seen through rozryzi, shredded over the light. The development of puhlin is carried out by way of development in the boundaries of healthy tissues. In case of a whole surgeon, we will take care of it, especially when localization of puffins near the urethra, clitoris and rectum, will be unique. Hemostasis is carried out on a regular basis, there is a great deal of hematoma detection. The wound closure is carried out in batches.

6. Surgery for kraurosis and leukoplakia vulva

Kraurosis and leukoplakia of the vulva can be attributed to hyperplastic (dystrophic) ailments (background or precancerous). In most cases, treatment is carried out in a complex, conservative way. In some situations, there may be shown surgical involvement.

Technology vikonannya. In case of an interconnected pathological process, it is carried out that it is suspended from the further sutures of the wound. However, with kraurosis, most often before the process, the tissues of the vulva on the significant protrusion are emitted, that is, the process of enlargement. Tom is quicker to find out in such situations polyaga in carrying out a vulvectomy. Vyroblyayutsya rozrіzi along the last edge of the great lips, as they sit above the clitoris, and at the bottom of the stench vertically rises to burn along the inner edge of the small state lips and end over the urethra. Between the razrіzami on the right and the evil one sees a shkіra with a fat pad. Retreat hemostasis is carried out. The edges of the shkiri and mucous membrane should be closed with okremimi seams.

7. Operations in the case of illnesses of the great zalozi the front of the day

Vivid brush. Cyst of the great zalozi the front of the day to take place in the form of a blockage in the vivid duct and in sight.

Technology vikonannya. Razrіz is carried out later called from zazrіz. Letting go of the brush with a blunt path beckon not to go out, to be carried out by hanging with a scalpel. Bazhano vidalennya kisti vikonuvati without pozhkogennya її capsules, I wish tse do not expect to be injected. In the area of ​​the bone bed, hemostasis is carried out, then a shallow suture. When the capsule of the brush is rosted, drainage of the bed is carried out.

8. Razkrittya abscess of the great zalozi in front of the day.

A number of methods of operation are being victorious.

Technology vikonannya. Conducted development in the area of ​​the most opuity (fluctuations) of education. Another nadriz is viroblyaє at the bottom of the abscess. Gauze drainage is carried out through the insult. Possibly roztin pozdovzhnіm or transverse rozrіzom from further upholstery edges (marsupіalіzatsіya). With relapses of abscess formation, you can see the whole area.

9. Vividness of genital warts

Condylomata are often found in the area of ​​the vulva, pituitary and cervical uterus. Їх diagnosis of infection, especially with papillomaviruses. The duration of the effect of conservative therapy is indicated before surgical treatment genital warts.

Technology vikonannya. Condylomata are excised with a scalpel of the base. The wound surface is given to muscular treatment, as it is to go to ethiotropic therapy. In the current hour, genital warts are often seen in the form of treatment for thermal coagulation, determoexcitation, laser therapy, and clinical examination.

10. Operations for pukhlins and cysts of pikhvi

Good poohlini, pichvi, are very bright. Most often, the needles are spared, as they are taken from the embryonic surpluses (Gartner's moves), as well as from the epithelial elements that are implanted into the tissue during the opening of the tissue. Promptly lykuvannya transferring vivid chin and k_st.

Technology vikonannya. The thinning of the slime shell over the holy day is carried out and the preparation of the chubby or brush is carried out. It should not become technically foldable when localizing the device in the area of ​​the front of the day and in the lower parts of the year. If some of Gartner's spirits go to end, go to the area of ​​crypts for the most recent stinks, then the brush from them will grow very high. In such situations, when Vilushuvannya kisti vinikak, it is not safe to use a cut-throat, urethri or to find a cut. In the process of the operation, control over the catheter aid is maintained. If necessary, the upper pole of the capsule of the brush, or the swelling appears or gets lost. When the hour of vaginosity is revealed, that of the flattening of the brush, as if the fetus is pereshkodzhaє, є beforehand for punctuation and evacuation of the child without a visible capsule. In general, in such cases, there is a recurrence of the brush, which will require a radical surgical intervention.

11. Development of the cervix

The growth of the cervical canal for the opening of the cervical canal is carried out in case of additional gynecological operations (clinopodibous amputation of the cervix of the uterus) and in case of certain situations in the process of flattening. Rise of the main walls of the cervical canal or the back, repairing from the last opening. For the purposes of this (without planning), such an operation will not be carried out at this time.

Technology vikonannya. To be naked in mirrors and fix with forceps on the anterior and posterior lips of the uterus. There is a call for the new land of the new generation, for in the area of ​​the back lip. The growth of the incisions of the cervix of the uterus is not guilty; Sewing of the wound surfaces is carried out for the purpose of reaching the goals.

12. Biopsy and visualization of polyps of the cervix

Biopsy of the uterine cervix is ​​carried out with a diagnostic method.

Technology vikonannya. To be naked with mirrors and to be fixed with forceps of the cervix of the uterus. Dilianki for vividness (call in to start for the front colposcopy) are guilty of being made of cultivars. The stench of a pint of pincers and the smell of a cone in the middle of a healthy fabric.

Electrocoagulation of the wound, or a suture applied to it, is carried out in every part of the cervix of the uterus and the stage of bleeding. Let us consider the rank of visualization of polypivas with the further dissection of the mucous cervical canal and the emptying of the uterus.

13. Scarification of the cervix of the uterus - the puncturing of the cysts in the area of ​​the cervix of the uterus with the help of spraying all over the place. Tse is carried out 2-3 times a day or every other day. Anesthetics are administered to the cervix. Such a method of detecting cystic changes of the uterus in the Danish hour is victorious in the edge of the uterus. The substitution of a new one is carried out by determoexcision or determokonizatsiya.