Myomectomy/Hysterectomy
Myomectomy
The removal of Uterine fibroids
What kind of fibroids are these?
Indications
Anemia
Secondary to uterine bleeding
Chronic severe pelvic pain
Chronic secondary dysmenorrhea
Prevents examination of adnexa
Urinary tract symptoms due to fibroids
Growth of fibroid
Infertility
Instruments
Major Set With extra allis clamps
O’connor O’Sullivan retractor or
Balfour Retractor
Positioning/Prep
The Procedure
Midline or Pfannenstiel incision
Abdominal Hysterectomy
Hysterectomy Set
Hysterectomy
The Procedure
Vaginal Hysterectomy
Position and Instrumentation
High lithotomy
Perineal prep including the vagina
Instrumentation
Vaginal hysterectomy set
The procedure
Weighted speculum and deaver retractor are placed in the vagina
The cervix is grasped with a tenaculum
A circumferential incision is made around the cervix
The anterior cuff and peritoneum is opened and the deaver is placed in the incision to retract the bladder
The posterior cuff and peritoneum is opened and the speculum is replaced with the Crisp speculum
The uterosacral ligaments are grasped with heany clamps and are tagged with suture
Just as in the open hysterectomy the dr will place a heany clamp, cut with a #10 knife and suture with pop offs.
When they reach the uterine artery and round ligaments they are clamped and double ligated.
The uterus is freed and delivered through the vagina
The vaginal cuff is closed.
When do you do your first closing count?
We create our tomorrows by what we dream today
The removal of Uterine fibroids
What kind of fibroids are these?
Indications
Anemia
Secondary to uterine bleeding
Chronic severe pelvic pain
Chronic secondary dysmenorrhea
Prevents examination of adnexa
Urinary tract symptoms due to fibroids
Growth of fibroid
Infertility
Instruments
Major Set With extra allis clamps
O’connor O’Sullivan retractor or
Balfour Retractor
Positioning/Prep
The Procedure
Midline or Pfannenstiel incision
Abdominal Hysterectomy
Hysterectomy Set
Hysterectomy
The Procedure
Vaginal Hysterectomy
Position and Instrumentation
High lithotomy
Perineal prep including the vagina
Instrumentation
Vaginal hysterectomy set
The procedure
Weighted speculum and deaver retractor are placed in the vagina
The cervix is grasped with a tenaculum
A circumferential incision is made around the cervix
The anterior cuff and peritoneum is opened and the deaver is placed in the incision to retract the bladder
The posterior cuff and peritoneum is opened and the speculum is replaced with the Crisp speculum
The uterosacral ligaments are grasped with heany clamps and are tagged with suture
Just as in the open hysterectomy the dr will place a heany clamp, cut with a #10 knife and suture with pop offs.
When they reach the uterine artery and round ligaments they are clamped and double ligated.
The uterus is freed and delivered through the vagina
The vaginal cuff is closed.
When do you do your first closing count?
We create our tomorrows by what we dream today
posted by Ms. Carpenter | 3:06 PM
2 Comments:
As a surgical technician, it is important that you’re able to work as a team, because it is the nature of the job that you work along side other members of operating room teams. Other team members will include anesthesiologists, circulating nurses and surgeons. Surgical Technician Wage
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