Myomectomy - deliver and isolate uterus

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 and Yetemwork Abay Benti from St. Paul Hospital Millennium Medical College.

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