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Safe Teaching Strategy for Vaginal Hysterectomy Professor Galal Lotfi, MD, MRCOG Obstetrics & Gynecology Suez Canal University Egypt 03/12/11
03/12/11
Suez Canal University Hospital 03/12/11
Aim: ,[object Object],[object Object],03/12/11
Our Fears ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
What we need during Hysterectomy? ,[object Object],[object Object],03/12/11
Patients ,[object Object],[object Object],[object Object],03/12/11
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Lessons to implement a safe technique. 03/12/11
Lesson 1: Selection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Technique 03/12/11
The Start ,[object Object],[object Object],[object Object],03/12/11
Lesson 2:  First Ligature. ,[object Object],03/12/11
If you are very close to uterus ,[object Object],[object Object],03/12/11
First Clamp 03/12/11
Lesson 3:  Ligatures. ,[object Object],[object Object],[object Object],03/12/11
[object Object],[object Object],03/12/11
Stitching First Pedicle to Vaginal Angle ,[object Object],[object Object],[object Object],03/12/11
Lesson 4:  Step ladder till ovarian pedicles. ,[object Object],[object Object],03/12/11
03/12/11
Uterine, Ovarian Ligatures 03/12/11
Ovarian to Ovarian, Closing Peritoneum 03/12/11
03/12/11
03/12/11
03/12/11
Story of vault prolapse ,[object Object],[object Object],03/12/11
So, At the End.. ,[object Object],03/12/11
Lesson 5:  Why approximating pedicles?. ,[object Object],[object Object],[object Object],03/12/11
At the end, The pedicles are sutured to the vagina: ,[object Object],03/12/11
Vaginal to Vaginal, Closing Vag 03/12/11
Results. ,[object Object],[object Object],[object Object],03/12/11
Complications : ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Cost. ,[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Discussion 03/12/11
Advantages of Step ladder ,[object Object],[object Object],[object Object],[object Object],03/12/11
Advantages of Vaginal Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Conclusion.. ,[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Rules to follow: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],03/12/11
Epilog ,[object Object],[object Object],[object Object],03/12/11
Thank You 03/12/11

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