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Uterus fixation

If the plasticity of the vaginal walls is performed on the occasion of their falling out or omission together with the uterus, then in most cases, the next step, fixation of the uterus, is also included for the effectiveness of the surgery. The anterior and posterior plasty of the vaginal walls without lifting up and fixing the uterus, which has been lowered or dropped, according to our observations, are ineffective: there are recurrences of the disease.

In the XIX — XX centuries. Dozens of methods for uterine fixation using transabdominal and transvaginal approaches have been developed. Various methods include both directly fixing the body of the uterus and achieving this goal by shortening its ligamentous apparatus. The following are just a few of them used by us and given in modern manuals.

Technique performance. Uterus fixation (ventrofixacio-exohysteropexia uteri) to the Kocher abdominal wall with the addition of the Leopold-Cherni method
includes a number of points:

• laparotomy (transverse according to Pfannenstiel or the lower midline incision);

• removal of the uterus in the abdominal wound (anterior surface or bottom area depending on mobility) and its fixation with catgut ligature, the imposition of 2-3 silk sutures through the aponeurosis, peritoneum and the anterior wall of the uterus (vcol needle right through the aponeurosis, the peritoneum and the anterior surface of the uterus and poking left through the peritoneum and the edge of the aponeurosis);

• hemming of the edges of the peritoneum to the front wall of the uterus in the form of a ring with continuous or separate sutures;

• tying silk sutures, previously imposed through the aponeurosis, peritoneum and the wall of the uterus;

• Layered wound closure of the abdominal wall.

This method of uterus fixation is advisable to use in women in perimenopause, when menstrual function is complete in the absence of pronounced atrophic processes of the genitals.
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Uterus fixation

  1. METHODS OF FIXING ANIMALS
    Methods of fixing animals, the main techniques of which are depicted in Fig. 4 - 10, are needed to perform healing
  2. Animal fixation
    Successful conduct of a clinical study of a sick animal for the purpose of diagnosis, as well as during therapeutic manipulations, depends largely on the skillful and proper treatment of the doctor with the patient. In this case, it is necessary to strictly observe the safety regulations for both the specialist and the support staff. The handling of the animal should be calm, gentle, with
  3. Exercises for central fixation WITHOUT POINTS
    1. Street - house - window in the house - window cover. 2. The crowd at the bus stop - a man with glasses - his face - his glasses. 3. Text page - line - word in line - letter in word. 4. Exercise with a candle, with the subject. What is central fixation? If we, colleagues, look at the human eye from the side in the section, it looks like this: it is a circle, in front of the lens, and
  4. Fixing the desired weight
    First of all, let's agree that your normal weight is the weight in which you feel comfortable, it is the weight in which you like yourself. Therefore, it is useless to “customize” your body to any journal parameters and standardization formulas. But it’s possible and even necessary to decide in advance on the number of desired kilograms. Remember that normally every five years after the age of 25
  5. Fixing the patient in a state of psychomotor agitation
    Indications: the patient's behavior with signs of motor arousal, with emotional disorders (schizophrenia, manic-depressive psychosis, intoxication and infectious psychosis, epilepsy, etc.). Equipment: syringes, needles, towels. Mandatory conditions: • availability of a sufficient number of medical staff (3-4 people); • use medications only for its intended purpose
  6. ABOUT EMPIRICAL FIXATION METHODS OF THE IMPACT OF BIOGRAPHIC FACTORS ON THE DEVELOPMENT OF PERSONALITY
    A biographical analysis of a person can have at least three main aspects: objective, subject and subjective. The first aspect involves the study, understanding of the individual based on the typical "life schedule" of representatives of a certain social or some conditional group to which the subject belongs. For this, individual biographical events are important.
  7. HEMOSTASIS WHEN FIXING THE VAGIENT BY WRITING TO THE CROSS-AESTHY BOND
    When the vagina is sutured to the sacrospinous ligament, bleeding from the branches of the internal iliac (hypogastric) artery may occur, which can be difficult to stop. Exfoliating the tissue anterior to the sciatic spine, it is possible to get into the lateral parts of the cardinal ligament (septum). This formation is abundantly permeated with branches of the hypogastric vein. Damage to any of its branches leads to abundant
  8. Diseases of the female genital organs and the mammary glands. Diseases of the cervix uterus. DISEASES OF THE BODY OF THE UTERUS. Diseases of uterine tubes. Diseases of the ovaries. BREAST DISEASES
    Diseases of the female genital organs and the mammary glands. Diseases of the cervix uterus. DISEASES OF THE BODY OF THE UTERUS. Diseases of uterine tubes. Diseases of the ovaries. DAIRY DISEASES
  9. Hanging the uterus for round ligaments
    Ventrosuspension of the uterus (ligamentoventrosuspensio uteri) is included in the complex of operations used for omission and prolapse of the genitals. It is also used to correct mobile or fixed uterine retrospectives. There are a number of methods for uterus ventro-suspensions: Dzhilyam-Kiparsky, Dartig-Webster, Doleri-Dzhilyam, Menge, Menge-Kozinsky and others (Fig. 77). {foto120} Figure 77.
  10. Supravaginal amputation of the uterus without appendages
    Stage 1. Fixation of the uterus. The surgeon (X) chooses the method of uterus fixation, which provides a more convenient operation. The uterus can be fixed with a "corkscrew", using the Muso forceps in the bottom area, or with two curved clamps, seizing the tubes and own ligaments of the ovaries along the ribs. In the latter version, the clamps play the role of counter-clamps, provide hemostasis. The assistant (A) holds the uterus, helps with
  11. Uterine rupture
    Uterine rupture is one of the most severe complications in obstetrics, which most often occurs in childbirth, is accompanied by severe bleeding and can be fatal for the mother and frequent death for the fetus. The frequency of rupture of the uterus, according to domestic authors ranges from 0.05 to 0.1%; according to foreign authors - from 0.005 to 0.08%. The frequency of rupture of the uterus along the scar is
  12. Uterine Diseases
    Morphophysiological features of the uterus. The size of the uterus varies depending on the age and number of births. In a newborn girl, the length of the uterus does not exceed 3 cm. In the active reproductive period, the uterus weighs about 50 g and measures approximately 8.0x6.0x3.0 cm. During numerous pregnancies, its weight can reach 70 g. After menopause, the uterus atrophy, decreasing in size almost 50%.
  13. Uterine myoma
    A benign tumor that forms from the muscle and connective tissue of the uterus. The disease occurs quite often. 15-17% of women over 30 suffer from uterine fibroids. To date, there is no single theory of the development of uterine fibroids. Most researchers associate its occurrence with hormonal disorders. Others adhere to the infectious theory of development. According to this theory
  14. Tetanus uterus
    Uterus tetany is rare. It is characterized by a constant tonic tension of the uterus, which does not relax at all. The reason is the simultaneous occurrence of several pacemakers in different parts of the uterus. At the same time, contractions of various uterine regions do not coincide with each other. The cumulative effect of the contraction of the uterus is absent, which leads to a slowing down and stopping of labor. AT
  15. Uterus fibromyoma
    Uterine fibromyoma is a benign hormone-dependent tumor consisting of muscle elements. A significant increase in fibromyoma diseases is now noticed. In recent years, cases of uterine fibroids have become frequent in women of childbearing age (30–35 years). The increase in the incidence of uterine fibroids is associated with exposure to environmental factors, work associated with
  16. Uterus fibromyoma
    Uterine fibromyoma is a benign hormone-dependent tumor consisting of muscle elements. A significant increase in fibromyoma diseases is now noticed. In recent years, cases of uterine fibroids have become frequent in women of childbearing age (30–35 years). The increase in the incidence of uterine fibroids is associated with exposure to environmental factors, work associated with
  17. Cervical cancer
    Cervical cancer in a pregnant woman is extremely rare, as most often this pathology develops in women over 40, in women with a large number of births and abortions in history, in women who often change their sexual partners. Cervical cancer is usually diagnosed with mandatory inspection of the cervix during pregnancy 2 times - when a pregnant woman enters the registry, when issuing
  18. UTERUS RIPS
    Uterine ruptures - a violation of its integrity during pregnancy or childbirth. According to various authors, the number of cases of uterine rupture is 0.1–0.005% of the total number of births. Currently, the number of uterine ruptures in our country is calculated in hundredths of a percent. Uterine ruptures during pregnancy occur much less frequently than during childbirth, and make up 9.1% of all ruptures. Especially rarely they
  19. Uterus diseases
    If the condition of the uterus is characterized by any deviations from the norm, this may interfere with the successful attachment of the embryo (implantation) or cause miscarriage. The most common diseases of the uterus that prevent pregnancy from occurring or developing are fibroids, endometrial polyps, intrauterine synechia or congenital deformities.
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