阴道子宫切除术的手术技术脱垂伴膀胱膨出Vaginal hysterectomy New surgical techn...

阴道子宫切除术的手术技术脱垂伴膀胱膨出
Vaginal hysterectomy New surgical technique PROLAPSE WITH CYSTOCOELE

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.
我52岁，外科医生从Mangaon。这是一个农村的KOKAN，在孟买，果阿高速公路约150公里，从孟买Raigad区。
我在这里从事外科以来1991.There没有妇科医生在Mangaon then.I良好的曝光，医院在Sholapur在我的PGTeacher的的产科和Gynacology工作。
我已经做了约360子宫切除术，自1996年以来的数据之前，它是不可用的。起初，我做了腹部子宫切除术及阴道的体面。
在2003年，我读到一篇文章。它说，黄金也在阴道one.It中standred在子宫切除术，阴道子宫切除术的最大数量将在未来与所有世界各地有数量将远远超过比任何其他类型的子宫切除术。
2004.So远，我开始做NDVH我已经做了120.It过前3 LSCS病人。
我有我自己的方法做阴道子宫切除术。我发现这些设置及效益。A），可以在最偏远的手术室，开放式手术是最小的设施。B）下可以做椎管内麻醉。Ç）投资是最低的。D）维持性的设备是可以忽略不计。E），任何妇科医生是谁做开放性手术可以做到这一点。F）可以在任何时期的menstruel周期。G）病人的制备是没有必要的，长期脱垂H）渗透是没有必要的。I）学习曲线是非常少的。J））几乎没有任何出血K）是非常快的组织解剖，手术时间是令人难以置信的低。L）并发症的可能性不大。我敢肯定，如果这种技术被教导在大尺度上，阴道子宫切除术的数量将超过其他的，很快。在此我声明，我提出7 NDVH的6个其他视频。我请耐心观看。我没有修改，所以，你可以看到每个手术步骤密切。评论，查询，批评都非常好来。


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