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This video you are watching how to deliver or exteriorize the myomatous uterus

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which is a uterus containing myoma

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this is an important step in the myomectomy procedure

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becasue if you don't exteriorize or deliver the myomatous uterus outside

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of the abdominal cavity

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it would be quite difficult to make myomectomy surgery and

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control hemorrhage

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so it is a very important

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and to make an easier exteriorization and

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delivery the surgeon has to make

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the necessary skin incision, depending on the size and the number of myomas present

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once the uterus is exteriorized, it is

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always important to apply tonicy

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usually using a number 16 or 18 catheter

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which applies pressure on both sides of the uterine arteries

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and through this step we can occlude

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temporarily the blood flow

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to the site of surgery and the

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myomectomy procedure will be having less blood loss