METHOD OF LAPAROSCOPIC SUPRAVAGINAL ABLATION OF UTERUS

摘要

FIELD: medicine; gynecology.;SUBSTANCE: at carrying out of abdominoscopic supravaginal ablation of uterus, carry out coagulation and crossing of round ligaments of the uterus, own ligaments of ovaries and the proximal extremities of uterine pipes, opening of vesicouterine cord, unit of bladder from uterus, mobilisation of body of womb, crossing of uterine vessels and cutting off of body of the womb with its subsequent excision through vulval access. Uterus mobilisation is performed before crossing of uterine vessels, leaving a uterus mobile, but not free, crossing of uterine vessels carry out after luxation and uterus bringing down in a vagina through the anterior colpotomic aperture and cut the body of the womb immediately in the vagina.;EFFECT: risk reduction of intra and postoperative complications, depression of possible traumatic effects of an operational intervention, decrease of intraoperative hemorrhage.;3 cl, 2 ex