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Abdominal ve Vajinal Histerektomi - www.jinekolojivegebelik.com
1.
HYSTERECTOMY Abdominal Hysterectomy
Vaginal Hysterectomy
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
Abdominal hysterectomy
29.
30.
31.
32.
33.
Fig 22.1
Elevation of Ut
34.
35.
Fig 22-2
Round ligament Ligation & Transection
36.
37.
Fig 22-3
Round ligament Ligation & Transection
38.
39.
Fig 22-4 Ureter
identification
40.
41.
Fig 22-5
Uteroovarian Ligament Ligation
42.
43.
Fig 22-6
Infundibulopelvic Ligament Ligation
44.
Fig 22-7
Infundibulopelvic Ligament Transection
45.
46.
47.
Fig 22-9 Uterine
Vessel Ligation
48.
49.
Fig 22-10
Incision of posterior peritoneum
50.
51.
Fig 22-11
Uterine Vessel Ligation
52.
53.
Fig 22-12
Surgical Technique
54.
55.
F ig 22-13
Vaginal Cuff Closure
56.
57.
58.
59.
Intraoperative Complications
60.
61.
62.
63.
64.
65.
66.
Postoperative Management
67.
68.
69.
70.
Vaginal hysterectomy
71.
72.
73.
74.
75.
76.
Fig 22.15
Circumferential Incision in vaginal epithelium
77.
78.
Fig 22.16 Dissection
of Vaginal Mucosa
79.
80.
Fig 22.17 Posterior
Cul-de-Sac Entry
81.
82.
Fig. 22.19 Interrupted
suture to approximate peritoneum & vaginal cuff for hemostasis
83.
84.
Fig. 22.19
Uterosacral Ligament Ligation
85.
86.
Fig. 22.20 Uterosacral
ligaments transfixed to posterolateral vaginal mucosa
87.
88.
89.
Fig. 22.21 Cardinal
Ligament Ligation
90.
91.
92.
Fig. 22.22 Uterine
Artery Ligation
93.
94.
Fig 22.23 Entry
into Vesicovaginal Space
95.
96.
Fig 22.24 Delivery
of the Uterus
97.
98.
Fig. 22.25 Uteroovarian
& Round ligament Ligation
99.
100.
Fig. 22.26 Removal
of ovaries & tube by clamping infundibulopelvic ligament
101.
102.
103.
104.
105.
Fig. 22.27 Peritoneal
Closure
106.
Fig. 22.28 Vaginal
Mucosa Closure
107.
108.
109.
110.
111.
112.
113.
114.
115.
116.
117.
118.
119.
120.
121.
122.
123.
124.
125.
126.
127.
128.
129.
130.
131.