Method for laparoscopic myectomy

Method for laparoscopic myectomy

(Apresyan S.V., Dimitrova V. I., Papoyan S. A., Slyusareva O. A., Kvitsaridze B. A.)

The invention relates to medicine, namely to gynecology and vascular surgery. Perform puncturing of the femoral arteries. Install into them the conductors of balloon catheters. Balloon catheters are inserted with a contralateral access below the bifukation of the common iliac artery into both internal iliac arteries. Inflate balloons to 6 atm, inject Veress needles through umbilical access and impose CO2 pneumoneum. A trocar and a laparoscope are introduced into the abdominal region, and three trocars are inserted into the right and left hypogastric regions above the womb. Spend the incision capsules myoma node and its excision. The myometrium defect is sutured and the myoma node is removed from the abdominal cavity. The balloon catheter is blown off and the guidewire is removed, an arteritomic opening is sutured. At the same time, before the incision of the capsule of the myometrical node is performed, 0.1 ml of epinephrine solution is injected into the capsule of the node with 5 ml of oxytocin solution. Then cut off 2/3 of the node and injected 10 ml of oxytocin intravenously. After reducing the node's bed, it is squeezed into the wound. The method allows to reduce the time of minimally invasive surgical intervention, reduce the risk of accidental opening of the uterus.

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