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Myoma Uteri
[object Object],[object Object],What is Myoma uteri
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
C lassifi cation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Findings   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object]
Medicine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surg ery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical option ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Total hysterectomy technique ,[object Object],[object Object],[object Object]
COMPARISON Laparoscopic Hysterectomy with Vaginal and Abdominal No scar 3 ½  cm scars  Large scar COSMETIC RESULTS 3-5  weeks 2  weeks 4-6  weeks RETURN TO WORK Minimal Negligent Significant POSTOPERATIVE PAIN 3-4  days 1-3  days 5-6  days STAY IN HOSPITAL Not possible Possible Possible REMOVE OVARIES Small uterus Prolapse  All indications Large fibroids Endometriosis Ovarian masses Poor access Adhesions INDICATIONS VAGINAL LAPAROSCOPIC ABDOMINAL  
Abdominal hysterectomy
Vaginal hysterectomy ,[object Object],2. cervix being bivalved with scalpel
3. uterine corpus being bivalved after separation of cervix has been completed  4. uterus halved after bivalving procedure to facilitate its removal
[object Object],6. bladder is drained with foley catheter revealing non-bloody urine
LAVH  ( laparoscopically assisted vaginal hysterectomy ) ,[object Object],[object Object]
LAVH
 
Uterine artery embolisation   ,[object Object],[object Object],[object Object]
Uterine artery emobilization
Myoma uteri & Complication in pregnancy
Complication in pregnancy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]

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Myoma Uteri

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  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. COMPARISON Laparoscopic Hysterectomy with Vaginal and Abdominal No scar 3 ½ cm scars  Large scar COSMETIC RESULTS 3-5 weeks 2 weeks 4-6 weeks RETURN TO WORK Minimal Negligent Significant POSTOPERATIVE PAIN 3-4 days 1-3 days 5-6 days STAY IN HOSPITAL Not possible Possible Possible REMOVE OVARIES Small uterus Prolapse  All indications Large fibroids Endometriosis Ovarian masses Poor access Adhesions INDICATIONS VAGINAL LAPAROSCOPIC ABDOMINAL  
  • 17.
  • 18. 3. uterine corpus being bivalved after separation of cervix has been completed 4. uterus halved after bivalving procedure to facilitate its removal
  • 19.
  • 20.
  • 21. LAVH
  • 22.  
  • 23.
  • 25. Myoma uteri & Complication in pregnancy
  • 26.
  • 27.
  • 28.
  • 29.