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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_207_библиотеки_им_акад_М_И_Перельмана
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Stripping Technique
14,35,36
(Video 6.2.1 )
Step 1
General anesthesia.
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Step 2
Laparoscope introduced through the umbilicus.
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Step 3
Three accessory 5-mm trocars placed in the suprapubic region.
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Step 4
Initial diagnostic evaluation of the pelvis and abdomen.
See Te ch Figure 6.2.1.
Te ch Fig ure 6.2.1. Initial diagnostic evaluation of the pelvis and abdomen.
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Step 5
Saline washing.
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Step 6
Adhesiolysis.
See Te ch Figure 6.2.2.
Te ch Fig ure 6.2.2. Adhesiolysis.
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Step 7
Create plane between endometrioma and ovarian cortex using saline.
See Te ch Figure 6.2.3.
Te ch Fig ure 6.2.3. Creat e plane between endomet rioma and ovarian cortex using saline.
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Step 8
Ovarian cyst punctured with trocar and contents are aspirated.
See Te ch Figure 6.2.4.
Te ch Fig ure 6.2.4. Ovarian cyst punctured with t rocar and content s aspirated.
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Step 9
Inner wall of the cyst checked for possible vegetation.
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Step 10
If vegetation found perform a frozen section.
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