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Uterus fixation

If plastic surgery of the walls of the vagina is performed regarding their prolapse or prolapse along with the uterus, then in most cases, for the effectiveness of the surgical intervention, its next stage is the fixation of the uterus. The front and back plastic of the walls of the vagina without lifting up and fixing the lowered or prolapsed uterus, according to our observations, are ineffective: relapses occur.

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

Technique of execution. Fixation of the uterus (ventrofixacio-exohysteropexia uteri) to the abdominal wall according to Kocher with the addition of the Leopold – Czerny method
includes a number of points:

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

• removal of the uterus into the abdominal wound (with the front surface or the bottom area, depending on mobility) and fixing it with a catgut ligature, applying 2-3 silk sutures through the aponeurosis, peritoneum and the front wall of the uterus (injected with a needle to the right through the edge of the aponeurosis, peritoneum and the front surface of the uterus and a puncture on the left through the peritoneum and the edge of the aponeurosis);

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

• tying silk sutures previously applied through the aponeurosis, peritoneum and uterine wall;

• layer-by-layer suturing of the wound of the abdominal wall.

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

  1. ANIMAL FIXING METHODS
    Methods of fixation of animals, the basic techniques of which are depicted in Fig. 4 to 10 are needed to perform the healing
  2. Animal fixation
    The successful conduct of a clinical study of a sick animal for the purpose of making a diagnosis, as well as during medical manipulations, largely depends on the skillful and proper treatment of the doctor with the patient. At the same time, the safety rules should be strictly observed both by the specialist himself and by the auxiliary personnel. The handling of animals should be calm, affectionate, with
  3. Central fix exercises WITHOUT GLASSES
    1. Street - house - window in the house - window binding. 2. The crowd at the bus stop - a man with glasses - his face - his glasses. 3. Text page - line - word in line - letter in the 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 section, it looks like this: it’s 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 at which you feel comfortable, this is the weight at which you like yourself. Therefore, it is useless to “fit” your body under some journal parameters and standardization formulas. But here it is possible and even necessary to determine in advance the figure of the desired kilograms. Remember that normal every five years after 25 years of age
  5. Fixation of a 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 psychoses, epilepsy and more). Equipment: syringes, needles, towels. Mandatory conditions: • the presence of a sufficient number of medical staff (3-4 people); • use medications only for their intended purpose
  6. ABOUT METHODS OF EMPIRICAL FIXATION OF THE INFLUENCE OF BIOGRAPHIC FACTORS ON PERSONAL DEVELOPMENT
    A biographical analysis of personality can have at least three main aspects: objective, subjective, and subjective. The first aspect involves the study, understanding of the personality based on the typical "life schedule" of representatives of a particular social or some conditional group to which the subject belongs. For this, individual biographical events are important.
  7. HEMOSTASIS DURING VAGINAL FIXATION BY HIMMING TO SACREDOUS DEPOSIT
    When the vagina is hemmed to the sacrospinous ligament, bleeding from the branches of the internal iliac (hypogastric) artery may occur, which can be difficult to stop. Exfoliating tissue anterior to the sciatic spine, you can get into the lateral departments of the cardinal ligament (septum). This formation is abundantly penetrated by the branches of the hypogastric vein. Damage to any of its branches leads to profuse
  8. Diseases of the female genital organs and mammary glands. Cervical Diseases. UTERINE BODY DISEASES. Diseases of the fallopian tubes. DISEASES OF THE OVARIES. BREAST DISEASES
    Diseases of the female genital organs and mammary glands. Cervical Diseases. UTERINE BODY DISEASES. Diseases of the fallopian tubes. DISEASES OF THE OVARIES. MILK DISEASES
  9. Round ligament hanging
    Uterus ventrosuspension (ligamentoventrosuspensio uteri) is part of the complex of operations used for prolapse and prolapse of the genital organs. It is also used to correct uterine motility or fixed retrodeviation. There are a number of methods for uterine ventilation: Dzhilliam — Kiparsky, Dartig — Webster, Doleri — Dzhilliam, Menges, Menges — Kozinsky, and others (Fig. 77). {foto120} Figure 77.
  10. Subvaginal uterine amputation without appendages
    Stage 1. Uterus fixation. The surgeon (X) selects a method for fixing the uterus, providing a more convenient operation. The uterus can be fixed with a “corkscrew”, Muso forceps in the bottom or with two curved clamps, gripping the tubes and their own ligaments of the ovaries along the ribs. In the latter embodiment, the clamps play the role of countermarks, provide hemostasis. Assistant (A) holds the uterus, helps with
  11. Uterine rupture
    Uterine rupture is one of the most serious complications in obstetrics, which most often occurs during childbirth, is accompanied by severe bleeding and can result in death for the mother and frequent death for the fetus. The frequency of uterine ruptures, according to domestic authors, ranges from 0.05 to 0.1%; according to foreign authors - from 0.005 to 0.08%. The frequency of uterine rupture in the scar is
  12. Uterine disease
    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 has dimensions of about 8.0 x 6.0 x 3.0 cm. With numerous pregnancies, its mass can reach 70 g. After menopause, the uterus atrophies, decreasing in size almost 50%.
  13. Uterine fibroids
    A benign tumor formed from the muscle and connective tissue of the uterus. The disease is quite common. 15-17% of women over 30 suffer from uterine fibroids. To date, there is no unified theory of the development of uterine fibroids. Most researchers attribute its occurrence to hormonal disorders. Others adhere to an infectious developmental theory. According to this theory
  14. Uterus tetanus
    Uterine tetany is rare. It is characterized by 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. In this case, the contractions of various departments of the uterus do not coincide with each other. The total effect of the action from the contraction of the uterus is absent, which leads to a slowdown and stopping of labor. AT
  15. UTERINE FIBROMIOMA
    Uterine fibromyoma is a benign hormone-dependent tumor consisting of muscle elements. A significant increase in fibromyoma disease is now seen. In recent years, cases of fibromyoma of the uterus in women of childbearing age (30-35 years) have become frequent. An increase in the incidence of uterine fibroids is associated with exposure to environmental factors, work associated with
  16. UTERINE FIBROMIOMA
    Uterine fibromyoma is a benign hormone-dependent tumor consisting of muscle elements. A significant increase in fibromyoma disease is now seen. In recent years, cases of fibromyoma of the uterus in women of childbearing age (30-35 years) have become frequent. An 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, since most often this pathology develops in women older than 40 years, in women with a large number of births and abortions in history, in women who often change sexual partners. Cervical cancer is usually diagnosed with a mandatory examination of the cervix during pregnancy 2 times - upon receipt of a pregnant woman, upon delivery
  18. Uterine Tears
    Ruptures of the uterus - a violation of its integrity during pregnancy or childbirth. According to various authors, the number of cases of uterine ruptures is 0.1-0.005% of the total number of births. Currently, the number of uterine ruptures in our country is estimated 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 rare
  19. Uterine diseases
    If the condition of the uterus is characterized by any abnormalities, this may interfere with the successful attachment of the embryo (implantation) or cause miscarriage. The most common diseases of the uterus that prevent the onset or development of pregnancy are myoma, endometrial polyps, intrauterine synechia, or congenital deformities
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