Гладышев Максим Владимирович (RU),Коротких Ирина Николаевна (RU),Лисенко Александр Владимирович (RU)
申请号：
RU2013132091/14
公开号：
RU2013132091A
申请日:
2013.07.10
申请国别(地区):
RU
年份:
2015
代理人:
摘要：
1. A method for transvaginal hysterectomy and laparoscopic-assisted nozzle to a morcellator for performing the method, wherein introduced into the uterine cavity and uterine manipulator being performed using offset uterus, after which the incised vesico-uterine fold otseparovyvayut bladder isolated vascular bundles, and ligated by cross monopolar coagulation in the coagulation mode and a cutting vascular bundles, round ligaments, fallopian tubes and ovaries own ligament without hysterectomy or adnexal torsion glye ligament and the funnel-pelvic ligament at hysterectomy with appendages, then through the vagina into the cervix administered guiding tool which is fixed in the uterus along the guide instrument administered knife electromechanical morcellator, switching drive blade is rotated clockwise and dissect them vaginal wall to level vaults, cervix and uterus body portion is cut and removed from the abdominal cavity through the vagina using a knife, the knife is reintroduced into the vagina, with the clamp grab the remainder of the body uterus and removed from the abdominal cavity, an additional hemostasis produce bipolar coagulator, the vaginal wall is sutured by abdominal peritonization accomplished by vesico-uterine folds and peritoneum, characterized in that as said uterine manipulator and guiding tool is used a guide element with a tip in an inverse bullet forceps, initially introduced into the vagina operations protective tube, through which is carried out in the uterine cavity with closed guide member inverse Pulev1. Способ трансвагинальной гистерэктомии с лапароскопической ассистенцией и насадка к морцеллятору для осуществления способа, при котором вводят в полость матки маточный манипулятор и с помощью его осуществляют смещение матки, после чего рассекают пузырно-маточная складку, отсепаровывают мочевой пузырь, выделяют сосудистые пучки, легируют и пересекают посредством монополярной коагуляции в режиме коагуляции и резания сосудистые пучки, круглые связки
