Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 4 Issue 2

Systematization in the Conservative Surgical Management of Myomas of Large Elements. Uterine Desarterialization DAU. POSADAS Technique. Case Report

Javier Enrique Oviedo Venerio1* and Cols Dra Maria Teresa Zelaya Velasquez2

1Specialist in Gynecology and Obstetrics, UNAN Leon, HEODRA Leon, Nicaragua
2Specialist in Gynecology and Obstetrics, MINSA, UNAN Leon, Nicaragua

*Corresponding Author: Javier Enrique Oviedo Venerio, Specialist in Gynecology and Obstetrics, UNAN Leon, HEODRA Leon, Nicaragua.

Received: November 05, 2021; Published: January 18, 2022

Abstract

Myomectomy is an alternative to offer in cases of young women, without children, who wish to preserve their uterus, however, it is essential to map the fibroids, pre-surgical planning, and a detailed informed consent of the risks [1]. The most frequent errors in myomectomy are inappropriate uterine incisions and ineffective hemostasis. The purpose of every surgeon during myomectomy is to use pharmacological actions and surgical techniques from the existing arsenal whose common denominator is to decrease the flow in the uterine and ovarian arteries. We use the Posadas technique for uterine dearterialization as it is considered easier and faster to perform combined with pharmacological actions and mechanical effects such as the use of tourniquets, we describe each of the actions carried out to reduce blood losses during the myomectomy of large elements in selected cases [2].

Keywords:Myomectomy; Uterine Dearterialization; Hemorrhage and Myomectomy; Posada Technique

References

  1. García –de la Torre y cols. “Ginecoobstetra, jefe del servicio de Ginecología y obstetricia, hospital Universitario de Saltillo, Universidad Autónoma de Coahuila”. Miomectomia y desarterializacion uterina como tratamiento Conservador de la Miomatosis de Grandes elementos: Reporte de un Caso. Rev. Ginecol Obstet Mex (2016).
  2. Posadas –Navas A, y Cols. “Control efectivo de la hemorragia Obstétrica postparto Mediante Desarterializacion Selectiva Uterina”. Descripción de la Técnica de Posadas. Artículo de Revisión Ginecol Obstet Mex (2016).
  3. KASER MD. Professor and chairman emeritus Department of obstetrics and Gynecology Kantonsspital Basel, Switzerland. Atlas de cirugía Ginecológica, con cirugía de mama y Cirugía urológica y Gastrointestinal Quinta ed. Editorial Marban (2009).
  4. Kongnyuy EJ and Wiysonge C. “Intervenciones para la Reducción de la hemorragia durante la miomectomia en el tratamiento de los fibromas”. Cochrane Gynecology and fertility Group (2014).
  5. John A Rock MD. Director y professor. Departamento de ginecología y obstetricia Louisiana State University School of Medicine. New Orleans Louisiana. Te Linde Ginecología Quirúrgica. Editorial Medica Panamericana (2006).
  6. Raymond A Lee MD. Chair Division of Gynecologic Surgery and Consultant, Departments of Obstetrics and Gynecology and of Surgery Mayo Clinic and Mayo Foundation. Professor of Obstetrics and Gynecology Mayo Medical School Rochester Minnesota. Atlas of Gynecology Surgery. Interamericana McGraw- Hill (1995).

Citation

Citation: Javier Enrique Oviedo Venerio and Cols Dra Maria Teresa Zelaya Velasquez. “Systematization in the Conservative Surgical Management of Myomas of Large Elements. Uterine Desarterialization DAU. POSADAS Technique. Case Report". Acta Scientific Women's Health 4.2 (2022): 02-06.

Copyright

Copyright: © 2022 Javier Enrique Oviedo Venerio and Cols Dra Maria Teresa Zelaya Velasquez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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