Excision of the uterus by the vaginal route
Materials, equipment, preparation of the operating physician – according to the procedures for the operating room.
Positioning the patient in the position as for lithotomy
Washing the skin of the vulva and perineum
Washing the vagina
Grasping the vagina with culottes
Circular incision of the vaginal mucosa approx. 1 cm from the edge of the vaginal part. Mucosal dissection towards the sides Sagittal incision of the vaginal mucosa Dissection of the bladder upwards Collateral punctures on the bladder supports Dissection of the mucosa of the posterior vaginal wall Dissection of the peritoneum of the anterior fold Dissection of the peritoneum of the posterior fold Dissection of the uterine corpus Cleming, transection, puncturing and ligating of the adnexa adnexa, Obturator ligaments and sacro uterine ligaments, vaginoplasty, excision of the specimen-submission for histological examination Suture closure of the peritoneum, leaving the stumps of the appendages extraperitoneally Cutting off the excess vaginal mucosa Sutures on the vagina Disinfection of the wound Bladder catheterization-control of diuresis Plasticity of the posterior vaginal wall-in the typical manner Transfer of the patient to the recovery room.
Positioning the patient in the position as for lithotomy
Washing the skin of the vulva and perineum
Washing the vagina
Grasping the vagina with culottes
Circular incision of the vaginal mucosa approx. 1 cm from the edge of the vaginal part. Mucosal dissection towards the sides Sagittal incision of the vaginal mucosa Dissection of the bladder upwards Collateral punctures on the bladder supports Dissection of the mucosa of the posterior vaginal wall Dissection of the peritoneum of the anterior fold Dissection of the peritoneum of the posterior fold Dissection of the uterine corpus Cleming, transection, puncturing and ligating of the adnexa adnexa, Obturator ligaments and sacro uterine ligaments, vaginoplasty, excision of the specimen-submission for histological examination Suture closure of the peritoneum, leaving the stumps of the appendages extraperitoneally Cutting off the excess vaginal mucosa Sutures on the vagina Disinfection of the wound Bladder catheterization-control of diuresis Plasticity of the posterior vaginal wall-in the typical manner Transfer of the patient to the recovery room.
