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Laparoscopic myomectomy with aquadissection and barbed sutures.

Modi R - J Gynecol Endosc Surg (2011)

Bottom Line: The whole of 400 ml of this saline is injected in the myometrium.Incision is made on the uterus with just simple scissors (no energy source is required).As the uterus is cut, instead of bleeding, saline leakage takes place.

View Article: PubMed Central - PubMed

Affiliation: Akola Endoscopy Centre, Akola, Maharashtra, India.

ABSTRACT
The objective of this study was to evaluate the efficacy of aquadissection technique to reduce the blood loss in myomectomy and to assess the benefits and feasibility of the use of barbed suture for myometrial defect closure. Vasopressin is diluted with saline as 10 units of vasopressin for every 100 ml of saline. For a fibroid of about 8 cm size, 40 units of vasopressin is diluted in 400 ml of normal saline. The whole of 400 ml of this saline is injected in the myometrium. Incision is made on the uterus with just simple scissors (no energy source is required). As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection.

No MeSH data available.


Related in: MedlinePlus

Cutting only with scissors
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Figure 4: Cutting only with scissors

Mentions: As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection [Figures 4–7]. For enucleation of fibroid, traction is given with a myoma screw and countertraction given with a suction cannula or a toothed needle holder [Figures 8 and 9].


Laparoscopic myomectomy with aquadissection and barbed sutures.

Modi R - J Gynecol Endosc Surg (2011)

Cutting only with scissors
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3304286&req=5

Figure 4: Cutting only with scissors
Mentions: As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection [Figures 4–7]. For enucleation of fibroid, traction is given with a myoma screw and countertraction given with a suction cannula or a toothed needle holder [Figures 8 and 9].

Bottom Line: The whole of 400 ml of this saline is injected in the myometrium.Incision is made on the uterus with just simple scissors (no energy source is required).As the uterus is cut, instead of bleeding, saline leakage takes place.

View Article: PubMed Central - PubMed

Affiliation: Akola Endoscopy Centre, Akola, Maharashtra, India.

ABSTRACT
The objective of this study was to evaluate the efficacy of aquadissection technique to reduce the blood loss in myomectomy and to assess the benefits and feasibility of the use of barbed suture for myometrial defect closure. Vasopressin is diluted with saline as 10 units of vasopressin for every 100 ml of saline. For a fibroid of about 8 cm size, 40 units of vasopressin is diluted in 400 ml of normal saline. The whole of 400 ml of this saline is injected in the myometrium. Incision is made on the uterus with just simple scissors (no energy source is required). As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection.

No MeSH data available.


Related in: MedlinePlus