Abdominal ve Vajinal Histerektomi - www.jinekolojivegebelik.com

1. HYSTERECTOMY Abdominal Hysterectomy Vaginal Hysterectomy

28. Abdominal hysterectomy

33. Fig 22.1 Elevation of Ut

35. Fig 22-2 Round ligament Ligation & Transection

37. Fig 22-3 Round ligament Ligation & Transection

39. Fig 22-4 Ureter identification

41. Fig 22-5 Uteroovarian Ligament Ligation

43. Fig 22-6 Infundibulopelvic Ligament Ligation

44. Fig 22-7 Infundibulopelvic Ligament Transection

47. Fig 22-9 Uterine Vessel Ligation

49. Fig 22-10 Incision of posterior peritoneum

51. Fig 22-11 Uterine Vessel Ligation

53. Fig 22-12 Surgical Technique

55. F ig 22-13 Vaginal Cuff Closure

59. Intraoperative Complications

66. Postoperative Management

70. Vaginal hysterectomy

76. Fig 22.15 Circumferential Incision in vaginal epithelium

78. Fig 22.16 Dissection of Vaginal Mucosa

80. Fig 22.17 Posterior Cul-de-Sac Entry

82. Fig. 22.19 Interrupted suture to approximate peritoneum & vaginal cuff for hemostasis

84. Fig. 22.19 Uterosacral Ligament Ligation

86. Fig. 22.20 Uterosacral ligaments transfixed to posterolateral vaginal mucosa

89. Fig. 22.21 Cardinal Ligament Ligation

92. Fig. 22.22 Uterine Artery Ligation

94. Fig 22.23 Entry into Vesicovaginal Space

96. Fig 22.24 Delivery of the Uterus

98. Fig. 22.25 Uteroovarian & Round ligament Ligation

100. Fig. 22.26 Removal of ovaries & tube by clamping infundibulopelvic ligament

105. Fig. 22.27 Peritoneal Closure

106. Fig. 22.28 Vaginal Mucosa Closure