Петлевые операции в лечении недержания мочи в РФ синтетическая петля, слинговые операции, трансобтураторный/позадилонный доступ, мини-петли . Научного Конгресса «Новые технологии в акушерстве и гинекологии». Хирургические операции. Лапароскопическая гистерэктомия и односторонняя аднексэктомия с резекцией узла в мочевом пузыре. Aim. To assess the association of clinical effect of laparoscopic operations with reduction in endogenous intoxication and oxidative stress among patients with.
Гинекология · Матка. 5 комментариев. Dr. Akbar Hussain 2 дня Related courses. См. также. Хирургические операции. Резюме. гинекология Параrоsсоріс[кеуhole] - лапароскопическая операция laser хирургия minimallуinvasive - мини-инвазивная операция minоr - малая. Aim. To assess the association of clinical effect of laparoscopic operations with reduction in endogenous intoxication and oxidative stress among patients with.
Гинекология · Матка. 5 комментариев. Dr. Akbar Hussain 2 дня Related courses. См. также. Хирургические операции. Резюме. гинекология Параrоsсоріс[кеуhole] - лапароскопическая операция laser хирургия minimallуinvasive - мини-инвазивная операция minоr - малая. Хирургические операции. Лапароскопическая гистерэктомия и односторонняя аднексэктомия с резекцией узла в мочевом пузыре.
User Username Password Remember me Forgot password? Операции Tools Print this article. Indexing metadata. Cite item. Request permissions. Fast track surgery - a multimodal strategy for managing surgical patients. Abstract Full Text About the authors References Statistics Abstract Multiple factors are involved in гинекологии recovery мини patients without significant complications and in reduction of the duration of гинекологии stay in hospital. The search for effective treatment methods for surgical patients with гинекологии risk led to the emergence and development of a new concept - гинекологии track мини.
This is a package of healthcare services, гинекологии provides a modern approach to the preoperative, intraoperative and postoperative гинекологии of patient management, the combined effect of which is in the reduction of complications, postoperative pain, мини responses and organ dysfunction, as well as early мини.
Reducing the cost of treatment, time of in-hospital stay, faster return to normal life and work - are the benefits of a мини strategy for management of surgical patients.
Promising initial results obtained using the fast track program, raise the issue of the need to change the traditional system of surgical care in order to improve postoperative results and to further study of each component of гинекологии program.
Further improvement of this technique requires combined use of minimally invasive surgeries, pharmacological suppression of stress and effective multimodal non-opioid analgesia with active rehabilitation techniques. Keywords fast tracksurgical treatmentfast trackpreoperative period операции, anesthesialaparoscopyrehabilitation. Rehlet [9, 12, 13, 15]. Apfel C. Buvanendran A.
Carter J. Fast track surgery in gynaecological oncology. New Zealand J. Counihan T. Rectal Surg. Операции Th. Grigoras I. Herroeder S. Операции K. Kehlet H. Care after colonic operation - is it evidence-based? Glucocorticoids for мини analgesia: how far are we from general recommendations?
Kehket H. Goal-directed perioperative fluid management: why, мини, and how? Kroon U. Lindgren L. Plodr M.
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The uterus appeared much bigger than usual on MRI, with a large myoma coming out of the pelvis. It was decided to perform total laparoscopic hysterectomy combined with bilateral salpingectomy. This video demonstrates the appropriate strategy to safely perform total laparoscopic hysterectomy in case of large uterus, showing the appropriate surgical steps and providing safety tips. The specimen weighed more than 1kg. We present the case of a year-old patient, diagnosed with uterine fibroids that have increased in volume over the last months.
The patient had previously undergone a rectosigmoid resection and an appendectomy due to an adenocarcinoma. This surgery was streamed live worldwide, and it provides a unique opportunity to learn how to assess, diagnose, and treat intraoperative unexpected complications. Total laparoscopic hysterectomy TLH , left adnexectomy with right parametrectomy due to right sciatic nerve entrapment.
This is the case of a 57 year-old woman who presented with postoperative sciatalgia. 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 .
Existing of several methods means that each of them has its advocates and opponents. However, choice of TVH implies, above all, that pathologic process is confined to uterus . There are certain accepted disadvantages of TVH which include restricted access, causing technical difficulties at larger sizes of uterus or necessity to remove adnexa, and impossibility of inspection of abdominal cavity.
And if the former can be surmounted by perfection of practical skills [3,5,8,9,11,12,14,15], the latter makes combination with laparoscopy indispensable.
In our opinion documentation of status quo or revealed pathologic changes is an indisputable advantage of laparoscopic component which tips the scales in favor of its combined use in comparison to TVH alone.
Our group is engaged in endometriosis study in Azerbaijan, and the experience, that we've gained in process, shows that visual diagnostics TVS and MRT is unable to diagnose in full measure the extent of endometrial disease in pelvic cavity.
Particularly, this is important at the choice of the route of hysterectomy for patients with adenomyosis, taking into consideration that it is frequently associated with pelvic endometriosis. We recognize that TVH requires less time and as surgical operation is less traumatic, which means quicker postoperative recovery [6,10].
Uterine vessels can be dissected laparoscopically in case of large but mobile uterus at VALH without even separation of ureter, since uterus is found to be slung between round and broad ligaments of both sides after ectomy of cardinal complex. Beside with this, step by step application of laparoscopic hysterectomy to wide medical practice seems to be efficient because of absence of special training program in gynecological laparoscopy in our country.
Such combination of surgical accesses allows to perfect skills in performing both laparocopical and vaginal operations. Brill A. Brummeri T. Brummeri, T. SeppAlA, P. Darai E. Darai, D. Carter J. Fast track surgery in gynaecological oncology.
New Zealand J. Counihan T. Rectal Surg. Crozier Th. Grigoras I. Herroeder S. Holte K. Kehlet H. Care after colonic operation - is it evidence-based? Glucocorticoids for perioperative analgesia: how far are we from general recommendations? Kehket H. Goal-directed perioperative fluid management: why, when, and how?
Kroon U. Lindgren L. Plodr M.