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Notes 骶骨固定(王延洲医生 陆军军医大学西南医院)
2018年09月26日



Hydrodistention (扩张性水肿)

Vertical mucosal incision was made from vaginal apex to approximately halfway down the posterior vagina  (垂直阴道切口从阴道顶端至阴道后半部)

Rectovaginal space was opened (直肠阴道间隙开放)

A flexible multichannel port was inserted (插入一个多通道端口)

The working space was the area created between pelvic sidewall and rectum (操作区是盆腔侧壁和直肠之间的区域)

The fibrofatty tissue was dissected using the Harmonic scalpel (用超声刀解剖纤维组织)

Sacral promontory was identified (固定骶骨海岬)

The mesh was fixed to the sacral promontory (将网片固定在骶岬上)

Suture the cervix with 2 nonabsorbable 3-0 sutures (用2个不可吸收3-0缝线缝合宫颈)

Tubular Vaginal Retractor is used to expose the cervix(用管状阴道牵开器暴露子宫颈)

Pull the mesh caudally , push the cervix cephalic (牵引网尾,推宫颈头)

Suture the mesh to the cervix (子宫颈缝合)

Close the vaginal mucosa  (闭合阴道粘膜)


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