Wertheim-Meigs surgery

Anesthetize the patient according to the procedure.

Insertion of a catheter into the urinary tract.

Decontamination of the surgical field.

Covering the surgical field with sterile drapes.

Incision of the abdominal skin in the median line from the pubic conjunctiva above the navel.

Layered opening of the abdominal layers.
Assessment of the reproductive organs-description of the condition of the reproductive organs in the description of the operation.
Palpation (macroscopic) assessment of the abdominal organs- in the description of the operation.

The obturator ligaments are pricked and transected bilaterally. The obturator ligaments are pricked and transected bilaterally. The funnel-pelvic ligaments are pricked and transected bilaterally. The lamina of the bladder-pelvic kink is incised and the kink is slid downward along with the bladder. The lamina of the broad ligament is incised broadly on both sides, the parametria are opened and the ureter is dissected from the bladder ureteral outlet, to the borderline crease. Bilaterally, the iliac and obturator lymph nodes are removed. The uterine arteries are ligated and transected bilaterally at the exit from the internal iliac t. The vaginal tissues are punctured and ligated. The vaginal walls are incised with a margin of 2cm from the vaults and the uterus is removed. Sutures are then placed at the top of the vagina, bringing a drain through the vagina.

Control of hemostasis- ligation of bleeding vessels.
The abdominal cavity is then closed in layers.

Wound dressing.

Transfer to the Postoperative Ward.