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Myomectomy - Making the skin incision

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    The first step in myomectomy is skin incision
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    so the preferred way of skin incision in myomectomy is
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    the transverse lower skin incision which is called the Pfannenstiel type of incision
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    usually most of the myomas can be evacuated or delivered with this incision
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    but sometimes, if the myoma is very big
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    one can do a subumbilical ?? type of incision
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    to faciltate an easier evacuation, delivery of the myomatous uterous for surgery
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    so on the skin incision, depending on
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    the steps of the layer of the skins
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    we have to cut the skin
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    followed by the subcutaneous tissue,
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    followed by the fascia
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    and the peritonium X and then we will
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    enter into the abdomen
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    once we are in the abdominal cavity
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    the first step is to palpate for the uterus
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    and to identify the number
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    and the location of the myomas on the uterus
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    then, so widening the skin incision, the surgeon
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    along with the assistant, will deliver they myomatous uterus
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    uteous outside of the skin, and then
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    see or characterize the number and the locations of the myomas
Title:
Myomectomy - Making the skin incision
Description:

This is part of a video series within a learning module about myomectomy designed for OBGYN residents at St. Paul Hospital Millennium Medical College. This video features an interview with Dr. Malede Birara, Assistant Professor within the Department of Obstetrics and Gynaecology. The full learning moduled is available at http://open.umich.edu/education/med/oernetwork/med/ob-gyn/myomectomy/2013. The video and learning module are shared under a Creative Commons Attribution Non-Commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/. The video was filmed by Kathleen Omollo from University of Michigan.

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Video Language:
English
Duration:
01:38

English subtitles

Incomplete

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