HISTERECTOMÍA AMPLIADA A VAGINA Y EXTRAFASCIAL Técnica Quirúrgica DR. HERNANDEZ Ene 2010

7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010

1/46

Ar. EASK MESOHOAET JKSKO

LFSUDHOK KOLK@KGK

GFOELK@KGK-KOLK@KGK

FSEO OKSQEQSUDF@@K - ESU


2/46

\uctkth` Mystereltkjy\fjp`e Qkth` Mystereltkjy

Shaflh` Hcakjfoh` MystereltkjyQfpks4 F-R

Ar. MESOOAET

^fver-Sut`eage

Rfhs4Hcakjfoh`Rhgfoh`@hphrkslpflh

3


3/46

Ar. MESOOAET

Qfpk4 F Mfstereltkjh extrhbhslfh`

FF Mfstereltkjh rhaflh` jkafbflhah@fobhaeoeltkjh kplfkoh`

FFF L`sflh kperhlfo4 Wertmefj-Jefgs

FR Sejklfo js exteosh4

vhgfoh9 resellfo vhsks F.F.

R Mfstereltkjh rhaflh` exteoafah

Mfstereltkjh4 ^fverSut`eage 8661


4/46

Mfstereltkjh Hjp`fhah h Rhgfoh,Extrhbhslfh` k Shaflh`

Ar. MESOOAET 1


5/46

Este tfpk ae Mfstereltkjh ok seeolueotrh aeslrfth.

\e reh`fzh eo ouestrh fostftulfo, hs

lkjk eo e` FOEO.\e utf`fzh `h tloflh qufrrgflh ae

Cerei-Mhliers, Curgmhrat k Skli.\e afselho `ks = esphlfks p`vflks,

phrh `kgrhr e` hckrahde haeluhak yexpkoer `h vhgfoh.

Ar. MESOOAET

\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE.

5


6/46

\e retfrh ae 3-< lj. ae vhgfoh.Foaflhlfkoes4

LF\ Lh Jflrkfovhskr sfo LR@.

\e evfth `hs relurreolfhs h ofve` `klh`.Rh ae hckrahde4

MHR lkoveolfkoh`

MHR `hphrkslpflh.Ok reh`fzhjks MHQ ae rutfoh.

Ar. MESOOAET

\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE.

2


7/46

Hohtkjh Xufrrgflhterk y hoexks

^e`vfs bejeofoh, eo vfsth brkoth`, hoterfkr y lkrkoh`.

Ar. MESOOAET 7


8/46

Hohtkjh Xufrrgflh

Hohtkjh qufrrgflh ae `h H. Uterfoh y urter

Ar. MESOOAET =


9/46

Ar. MESOOAET

Qfpks Mfstereltkjh4MHR, Extrhbhslfh` y Shaflh`

FSHAFLH@FFF FF

MS4 EL F-FFHFF EL FH3, FH8lko LR@,

FFF EL FC8-FFH

Cerei hoa Mhlier 's Gyoelk`kgfl Kolk `kgy, 5tm Eaft fko Lkpyrfgmt 3>8> @fppfolktt Wf``fhjs & Wf`ifos

6


10/46

Cerei hoa Mhliers, Gyoelk`kgfl Kolk`kgy 5tm eaftfko, @fppfolktt 3>8>.

FFF [email protected]`

H. Uterfoh^hrhlrvfx^hrhlk`pks

Qfpk FF4 \e retfrh phrhjetrfks, phrhlrvfx y phrhlk`pks mhsth `h jftha.

Qfpk FFF4 \e retfrh phrhjetrfks, phrhlrvfx y phrhlk`pks mhsth e` muesk p`vflk.

Ar. MESOOAET 8>


11/46

Hohtkjh Xufrrgflh^e`vfs bejeofoh

Ar. MESOOAET 88


12/46

@hphrhtkjh exp`krhakrh @fghjeotks terk-kvrflks y Qrkjphs @fghjeotks reakoaks @fghjeotks holmks @fghjeotks Fobuoafcu`kp`vflk Esphlfk Resflk-uterfok Esphlfk phrhvesflh` Esphlfk reltkuterfok Esphlfk phrhrrelth` @fghaurh Hrterfhs Uterfohs @fghjeotks Lhrafoh`es @fghjeotks terkshlrks @fobhaeoeltkjfh ^`vflh y ^hrhhrtflh

Ar. MESOOAET 83


13/46

Rhgfoh`4 \ellfo y lferre Sevfsfo mejksthsfh Seperftkofzhlfo Lferre ae ^hrea hcakjfoh`.

Ar. MESOOAET 8>6.

85


16/46

Ar. MESOOAET

\e utf`fzh e` \F\QEJH SUJF IKM F, lko kshlleskrfks Qfps y Lk`pktkjfzer4 Lups.

\ervflfk ae G foelk `kgh Kol k`gflh, FSEO OKSQE.

82


17/46

Ar. MESOOAET

Qloflh XufrrgflhHohtkjh ^e`vfs Bejeofoh

Rfsth pksterk superfkr, lko perftkoek fothltk

Oetter

LUESOK\

Exp`krhlfo p`vflh y hcakjfoh`

87


18/46

Ar. MESOOAET

QLOFLH XUFSSGFLH@fghjeotks Uterk-Kvrflks y Qrkjphs

^fozh Jhyk, Sklmester, Mehoey,

Iklmer, Klmsoer, ^eo.

^fozhjfeotk ae `ks lueroks lko ^fozh aeJhyk4 Fol`uye @fg. Seakoak, trkjph y @fg.

Uterk kvhrflk.

8=


19/46

\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.

Ar. MESOOAET 86

^fozhs ae Jhyk skcre `ks lueroks.


20/46

Ar. MESOOAET

QLOFLH XUFSSGFLHRfsth `hterh`

^fozh Jhyk, Mehoey,Iklmer, Klmsoer^fozh \lmrkeaer

^fozhjfeotk ae `ks lueroks.

3>


21/46

Ar. MESOOAET

QLOFLH XUFSSGFLH@fghjeotks Seakoaks

Mf`k O 8> l/h JhykRflry` O 3/> JM-8

Hl. ^k`fg`fl`flk O

3/> JS ,


22/46

QLOFLH XUFSSGFLHQSHO\BF]FO @FG SEAKOAK\

A S . M E S O O A E T


@fghaurh

trhosbfxfhote

ae` `fghjeotk

reakoak lko

Rflry` 3/>, > LQ-8

y ie``y prkxfjh`

k afsth`.

33


23/46

QLOFLH XUFSSGFLH@fghjeotks Seakoaks

Qloflh Fostrujeothah4 Ie``y-Ie``y

\ellfo ae `ks @fghjeotks Seakoaks lko ^fozhs ae Ie``y.

Ar. MESOOAET 3, 8>

Rflry` O >, 3/> LQ-8, LQ-3

Hl. ^k`fg`fl`flk O >, 3/> JS -


28/46

Ar. MESOOAET

QLOFLH XUFSSGFLH@fghjeotk Fobuoacu`k p`vflk

@fghaurh ^fozh kJkothah y Qrhosbfxfo

^fozh Lrhbkkra, \hrkt, Sklmester, Ahoay, Jhyk, Mehoey,êo, Jfxter.

êoLrhbkkra

\ellfo ae` @fghjeotk Fobuoacu`kp`vflk, lko aks pfozhs Lrhbkkraprkxfjhès y uoh afsth`, lko `fghaurh trhosbfxfhote e fostrujeothah.

3=


29/46

QLOFLH XUFSSGFLH@fghjeotk Fobuoacu`k p`vflk

^rkleaures Gyoelk`kgfl, Skli-Dkoes.

Ar. MESOOAET 36


30/46

Ar. MESOOAET

QLOFLH XUFSSGFLH^SE\ESRHLFO AE GKOHAH\

@fghjeotk Uterk-Kvrflk y Qrkjphs

Lhprkby` O 8, >, 3/> JS -, 3/>

Rflry` O 8, > LQ-8

^A\ FF O > LQ-8

Cerei, Oymus.


31/46

Ar. MESOOAET

QLOFLH XUFSSGFLHEsphlfks Resflk-uterfok y phrhvesflh`

\ellfo ae `h mkdh hoterfkr ae` `fghjeotkholmk y Afsellfo ae` Esphlfk Rsflk-uterfok.


32/46

Ar. MESOOAET

QLOFLH XUFSSGFLHEsphlfks Resflk-uterfok y phrhvesflh`

Afsellfo Esphlfk vsflk uterfok y ^hrhvesflh`

Utf`fzhjks4

^fozh Afsellfo

+ Qfderh Jetzeochuj

+ \whc

k E`eltrkcfsturf


33/46

Ar. MESOOAET

QLOFLH XUFSSGFLHEsphlfk Seltk-uterfok y ^hrhrrelth`

^fozh Lrhbkkra, Jhyk,Mehoey, eo, Sklmester.

\ellfo ae Mkdh pksterfkr ae` `fghjeotk holmk yAfsellfo Esphlfk Seltkuterfok y phrhrrelth`

\ellfo @fg.Uterkshlrks


34/46

Ar. MESOOAET

QLOFLH XUFSSGFLHQfejpk ae `hs Hrterfhs Uterfohs4

^fozhs Uterfohs4 Jhyk, Mehoey, Bhure.

BhureMehoey


35/46

Ar. MESOOAET

QLOFLH XUFSSGFLHHrterfhs Uterfohs

Lhprkby` O 8Lhtgut O 8Rflry` O 8

Lk`klhlfo ae aks pfozhs ae Jhyk y @fghaurhQrhosbfxfhote e fostrujeothah ae `hs Hrterfhs Uterfohs.

^fozh Jhyk^fozh Mehoey^fozh Bhure^fozh Mefss^fozh Sklmester


36/46

QLOFLH XUFSSGFLH@fghaurh y \ellfo Hrterfhs Uterfohs

Ar. MESOOAET



37/46

Ar. MESOOAET

QLOFLH XUFSSGFLH@fghjeotks Lhrafoh`es (^hrhjetrfks)


Rflry` O 8Rflry` O >Hl. ^k`fg`fl`flk O8, > JS Hgudh ae Jhyk k brholeshRflry` O 3/>

Lk`klhlfo ae aks pfozhs ae Jhyk y \ellfo @fghjeotkLhrafoh`4 ^hrhjetrfks

Mefss

(Jhlieorkat)


38/46

QLOFLH XUFSSGFLH\ellfo ae ^hrhjetrfks

Lk`klhlfo ae ^fozh ae Jhyk, Sklmester Lhrjh`t y sellfoae `fghjeotks lhrafoh`es k phrhjetrfks.

Ar. MESOOAET



39/46

Qfejpk Rhgfoh`^fozhs phrh Rhgfoeltkjfh4 Wertmefj, Jkyofmho.

Ar. MESOOAET



40/46

Ar. MESOOAET

QLOFLH XUFSSGFLHQfejpk vhgfoh`4 Rhgfoeltkjh

^fozh Jkyofmho, Wertmefj

\ellfo ae Rhgfoh4Qloflh Lerrhah4 ^fozh Jkyofmho, Wertmefj.Qloflh Hcferth 4 E`eltrkcfsturf

1>


41/46

QLOFLH XUFSSGFLHQfejpk vhgfoh`4 Rhgfoeltkjh

\e l`hjph lko pfozh ae Wertmefj, Jkyofmho, Lu``eo.

Ar. MESOOAET 18


42/46

QLOFLH XUFSSGFLH\ellfo vhgfoh`

Lk`klhlfo ae pfozhs ae Wertmefj k Jkyofmho y sotesfs lkoRflry` O > LQ-8.

Ar. MESOOAET


13


43/46

Ar. MESOOAET

QLOFLH XUFSSGFLH\otesfs Rhgfoh`

Hltuh`jeote eo ouestrh Fostftulfko, reh`fzhjks lferre tkth` aevhgfoh.

Lferre ae vhgfoh lko kr`hRflry` O >Rflry` O 8

1

HISTERECTOMÍA AMPLIADA A VAGINA Y EXTRAFASCIAL Técnica Quirúrgica DR. HERNANDEZ Ene 2010

Documents

Transcript of HISTERECTOMÍA AMPLIADA A VAGINA Y EXTRAFASCIAL Técnica Quirúrgica DR. HERNANDEZ Ene 2010