WEBVTT

00:00:05.620 --> 00:00:10.124
The uterine incisions to make myomectomy

00:00:10.124 --> 00:00:15.544
usually should be done by metrocautery or

00:00:15.544 --> 00:00:22.928
scalpel, and the principle type and site of incision on the uterus is

00:00:22.928 --> 00:00:32.605
as much as possible on the anterior aspect of the uterus and as much as possible

00:00:32.605 --> 00:00:38.444
all the myomas should be removed through a single incision [words on screen: ovary uterine incision fundus of the uterus]

00:00:38.444 --> 00:00:42.814
made on the anterior aspect of the uterus.

00:00:42.814 --> 00:00:45.819
So while doing the incision on the uterus

00:00:45.819 --> 00:00:50.222
there might be bleeders coming from the myometrium

00:00:50.222 --> 00:00:57.658
but once we reach into the myoma, the myoma will be appearing quite

00:00:57.658 --> 00:01:18.594
x and less bleeding

00:01:18.594 --> 00:01:23.765
but sometimes it might be difficult to remove all the myomas

00:01:23.765 --> 00:01:25.015
through a single incision,

00:01:25.015 --> 00:01:28.016
and it might be important to do other incisions

00:01:28.016 --> 00:01:29.770
but as much as possible one has to avoid

00:01:29.770 --> 00:01:33.800
making multiple incisions so that lesion

00:01:33.800 --> 00:01:37.800
and pain and hemorrhage will not be higher