Hysterotrachelectomy

Kugura kuti cervix zvinogona kuitwa nzira dzakasiyana-siyana. Izvi imhaka mwero wokuparadza kwayo uye hypertrophy.

Pane zvinotevera nzira kushanda:

- soro kudimurwa of cervix;

- achikanganisa Kubviswa kusangana nekutsi kwemukadzi mugove;

- nokubviswa cône serin'i;

- diatermokonizatsiya.

Kuvhiya Izvi zvinoratidzwa nokuti raidudzwa deformation somugumisiro vakawanda mitswe, chisingaperi Endocervicitis pamwe connective degeneration, hypertrophy kana kuvapo idzokororo polyps. Uyezve, muromo wechibereko ablation kuratidzwa panguva leukoplakia, follicular hypertrophy, nonhealing kana idzokororo anozoumbiridzwazve erythroplakia.

High kubviswa nzira yaishandiswa adenoma uye discontinuities makuru akabatana ectropion (eversion mucosa). Uyezve, nzira iri kushandiswa kune raidudzwa elongation kwemitsipa zvinopfuura dzokubereka mutswe.

Conical kudimurwa zvakakodzera varwere idzokororo kukurwa kwevhu, chisingaperi endotservitsitah, achiperekedzwa idzokororo polyps.

The achikanganisa remuromo ablation kunoratidzwa nokuda mwero follicular hypertrophy, uyewo mamwe pathologies, pasina yaida kushandisa kumusoro kudimurwa.

Kana kenza chirwere chinogona kushandiswa diatermokonizatsii nzira uchishandisa electrocautery chipande nzira kana conical kubviswa. Kana ichi ndechokuti zvakakodzera nzira yokutanga.

Supravaginal kugura dumbu ndiyo kuvhiya kubviswa nhengo mumuviri munzvimbo dzomunyika Os supravaginal mutsipa mugove. Saka, chete mutsipa anoramba pashure kuvhiyiwa.

Mune zvimwe zviitiko, kubviswa uterine muviri anoitwa zvishoma kupfuura zvemukati Os. Izvi zvinobvumira kuti uchengete chikamu chiduku pakati endometrium (the mucosa). Kana pane imwe (endometrium) inoshanda ovaries akaderedzwa (akaderedzwa) chimiro ichipfuura chete nzendo shanduko kuti panguva yekutevera yatinofema. Kazhinji pamwedzi pashure supravaginal kubviswa zvikasaitika.

Panguva kupindira ichi hachisi zvakakodzera kuvhura nyinyo. Munzvimbo yomunyika Os zviri munzvimbo yacho remuromo canal, zvinowanzoita kuti kuva chena. Muchiitiko ichi akatakurwa abdominal-rusvingo nzira nadvlagalischoe chibereko chiri chipingaidzo zvichiitika aseptic kuvhiya mumunda. The anosiyiwa ndivo zviitiko apo kuvhiyiwa rinoitwa pasi kuzvimba mumuviri zvinoshandiswa, perforation kana vaingoerekana atsamwira panguva yepamuviri.

Kudimurwa of dumbu. migumisiro

For intraoperative yematambudziko zvinosanganisira ureteral zvakuvadza dundira.

Migumisiro More ngozi - paumbwe hematomas, kubuda ropa. Ropa ari postoperative nguva vari panoonekwa ndokushinga zvakaoma. Izvi imhaka yokuti zvaitika munguva namahwindo nzvimbo (parameters), uye ipapo kupinda abdominal mhango (kana zvakananga mariri pakarepo). Panyaya iyi, residual danho peritonization midziyo yose nemarunda zvine akadzokorora rokuongorora uye, kana zvakakodzera, mamwe ligation (kunyanya pamberi hombe ligatures kuwedzerwa midziyo varicose ropa). Kana zvakakodzera, iri kudzorwa hemostasis akaita fanira abudise yacho peritoneum, kana kuwedzera kuvhiyiwa kuti chibereko.

By postoperative Migumisiro zvinosanganisira kupwanywa, kubuda ropa. Muzviitiko zvakadaro, mushure kupindira kunoratidza relaparotomy. Kana vachangobva nechirwere, chinoda kugadziriswa hematomas yakatarwa relaparotomy, abudise uye kunaya pelvic, extirpation kuti chigutsa.