This video you are watching how to deliver or exteriorize the myomatous uterus
which is a uterus containing myoma
this is an important step in the myomectomy procedure
becasue if you don't exteriorize or deliver the myomatous uterus outside
of the abdominal cavity
it would be quite difficult to make myomectomy surgery and
control hemorrhage
so it is a very important
and to make an easier exteriorization and
delivery the surgeon has to make
the necessary skin incision, depending on the size and the number of myomas present
once the uterus is exteriorized, it is
always important to apply tonicy
usually using a number 16 or 18 catheter
which applies pressure on both sides of the uterine arteries
and through this step we can occlude
temporarily the blood flow
to the site of surgery and the
myomectomy procedure will be having less blood loss