阴道子宫切除术的手术技术，子宫脱垂

发布时间：2013-02-03

I'm 52 yr old surgeon from Mangaon .It's a rural area of Kokan ,in Raigad district on Mumbai-Goa highway about 150 km from Mumbai .
I'm practicing surgery here since 1991.There was no gynaecologist in Mangaon then.I had good exposure to Obsterics & Gynacology work at my P.G.Teacher's hospital in Sholapur.
I have done about 360 hysterectomies since 1996.The data before it is not available. Initially I did abdominal hysterectomies & vaginal ones for decent.
In 2003 I came across an article. It said that gold standred in hysterectomy in vaginal one.It also said that maximum number of vaginal hysterectomies would be done all over world in future & there number would far exceed than any other type of hysterectomy.
I started doing NDVH in 2004.So far I have done about 120.It include previous 3 LSCS patient too.
I have developed my own technique of doing vaginal hysterectomies.

I have found these Benifits.
A) Can be done in most remote operation theatre where minimal facilities for open surgery are available.
B) Can be done under spinal anaesthesia.
C) Investment is minimum.
D) Maintainace of equipment is negligible .
E) Any Gynaecologist who is doing open surgery can do it.
F) Can be done in any period of menstruel cycle.
G) Preparation of patient is not necessary in chronic prolapse .
H) Infiltration is not necessary.
I) Learning curve is very less.
J)) There is hardly any bleeding
K) Tissue dissection is very fast , surgical time is unbelievable low.
L) Complications unlikely.

I'm sure if this technique is taught on large scale, number of vaginal hysterectomies would exceed other ones,soon.
Herewith I am presenting seven NDVH & six other videos. I request patient viewing. I have not edited them, so that you can see each surgical step closely.
Comments,queries,criticism are very much well come. Please communicate.

谢谢分享