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Health

Medical manipulations

Preoperative preparation and postoperative period of gynecological patients

Each surgical operation affects the processes of vital activity of the organism as a whole. Along with physical trauma, one should also take into account the mental effects, pain, the effect on the body of narcotic substances, loss of fluid, electrolytes. Heat and many other moments.

Vaginal wall plastic surgery

The vagina is exposed in the mirrors. The cervix is seized with bullet forceps and reduced to the entrance to the vagina. From the anterior wall of the vagina, an oval flap is cut out, the upper edge of which is 1-1.5 cm below the urethra, and the lower edge near the cervical passage to the vaginal vault.

Surgery on the cervix

For any operation, the cervix is exposed in the mirrors. The vagina and cervix are treated with iodonate and ethyl alcohol, the cervix is taken on bullet forceps and reduced to the area of the vaginal opening. Long mirrors are replaced by short wide ones, since they do not allow the cervix to be lowered sufficiently freely.

Vaginal extirpation of the uterus

Vaginal extirpation of the uterus can be simple and rather complicated if it is produced without lowering the walls of the vagina and in the absence of failure of the muscles of the pelvic floor. Post-operative course after vaginal operation, as a rule, is easier than with abdominal cavity.

Supravaginal amputation of the uterus

Attach clamps on the round ligament of the uterus, the own ligament of the ovaries and the fallopian tubes in such a way that the first of them is located close to the uterus, and then, retreating 1-1.5 cm from the lateral surface of the uterus, grip the clamps with a round ligament, own ovarian ligament and uterine pipe.

Surgery on the appendages of the uterus

Technically, the operation on the appendages of the uterus can be simple, but in some cases it is complicated by numerous spikes. If it is difficult to remove the tumor of the ovary to the wound, two tuppers can be used on the corncang and, bringing them under the tumor.

Laparoscopy

Laparoscopy is a method of direct optical examination of the abdominal cavity organs. Depending on the time of execution, laparoscopy can be planned and performed in an emergency, before surgery and in the early or late postoperative periods.

Surgical interventions on female genital organs

Surgical interventions on female genitalia are carried out mainly in two ways - transabdominal (abdominal) or transvaginal.

Circumcision in women

Despite widespread condemnation of circumcision, this practice persists in many countries, with prevalence ranging from less than 1% to 99%.

Circumcision (circumcision) in men

Circumcision (circumcision) - partial surgical removal of the prepuce. The most common surgery for men. The prevalence varies in different countries: 50% in Canada, 60-90% in the USA, 90-95% in Israel.

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