[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:02.96,0:00:12.19,Default,,0000,0000,0000,,This video you are watching how to deliver or exteriorize the myomatous uterus
Dialogue: 0,0:00:12.19,0:00:15.30,Default,,0000,0000,0000,,which is a uterus containing myoma
Dialogue: 0,0:00:15.30,0:00:20.26,Default,,0000,0000,0000,,this is an important step in the myomectomy procedure
Dialogue: 0,0:00:20.26,0:00:25.44,Default,,0000,0000,0000,,becasue if you don't exteriorize or deliver the myomatous uterus outside
Dialogue: 0,0:00:25.44,0:00:27.10,Default,,0000,0000,0000,,of the abdominal cavity
Dialogue: 0,0:00:27.10,0:00:30.32,Default,,0000,0000,0000,,it would be quite difficult to make myomectomy surgery and
Dialogue: 0,0:00:30.32,0:00:35.28,Default,,0000,0000,0000,,control hemorrhage
Dialogue: 0,0:00:35.28,0:00:37.65,Default,,0000,0000,0000,,so it is a very important
Dialogue: 0,0:00:37.65,0:00:41.24,Default,,0000,0000,0000,,and to make an easier exteriorization and
Dialogue: 0,0:00:41.24,0:00:43.58,Default,,0000,0000,0000,,delivery the surgeon has to make
Dialogue: 0,0:00:43.58,0:00:50.96,Default,,0000,0000,0000,,the necessary skin incision, depending on the size and the number of myomas present
Dialogue: 0,0:00:50.96,0:00:54.08,Default,,0000,0000,0000,,once the uterus is exteriorized, it is
Dialogue: 0,0:00:54.08,0:00:58.64,Default,,0000,0000,0000,,always important to apply tonicy
Dialogue: 0,0:00:58.64,0:01:02.24,Default,,0000,0000,0000,,usually using a number 16 or 18 catheter
Dialogue: 0,0:01:02.24,0:01:07.08,Default,,0000,0000,0000,,which applies pressure on both sides of the uterine arteries
Dialogue: 0,0:01:07.08,0:01:09.93,Default,,0000,0000,0000,,and through this step we can occlude
Dialogue: 0,0:01:09.93,0:01:12.92,Default,,0000,0000,0000,,temporarily the blood flow
Dialogue: 0,0:01:12.92,0:01:14.82,Default,,0000,0000,0000,,to the site of surgery and the
Dialogue: 0,0:01:14.82,0:01:18.85,Default,,0000,0000,0000,,myomectomy procedure will be having less blood loss