Method of conducting laparoscopic gynecological operations after midline lower laparotomy

摘要

the invention relates to medicine and can be used for surgical and laparoscopic surgery in gynecology in patients previously operated on the line with scar longitudinal position of the abdomen.method of performing laparoscopic gynecological surgery after median laparotomy is performed inferior lies in that point of intersection of a buttonhole in a lower umbilical ring border with median line of the abdomen.then it is inserted into the abdominal cavity through a troacar perpendicular to the abdominal wall, out of him mandrinul and insert a laparoscope, pneumoperitoneul occurs.under visual control is execute cufflinks in two points symmetrical, located 2 cm above simfizapubiana and 8 cm lateral to the median line of the abdomen are inserted through two troacare for instruments and manipulative, excizeaza aderentele, if necessary, make the man ipulatiile required surgical instruments, remove and sutureaza cuff links.