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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

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Figure 13: Morcellation

Mentions: Mainstay of hemostasis in laparoscopic myomectomy is suturing. Once the fibroid is separated, myometrium is sutured by barbed suture material [Figures 10–13].


Laparoscopic myomectomy with aquadissection and barbed sutures.

Modi R - J Gynecol Endosc Surg (2011)

Morcellation
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 13: Morcellation
Mentions: Mainstay of hemostasis in laparoscopic myomectomy is suturing. Once the fibroid is separated, myometrium is sutured by barbed suture material [Figures 10–13].

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