Journal of Gynecological Endoscopy and Surgery
Journal of Gynecological Endoscopy and Surgery Home | About us | Editorial Board | Ahead of print | Current issue | Back issues | Search | Instructions | Subscribe | Login 
Users online: 229 Wide layout Narrow layout Full screen layout Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size
NEW TECHNIQUES
Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 47-52

Laparoscopic myomectomy with aquadissection and barbed sutures


Akola Endoscopy Centre, Akola, Maharashtra, India

Correspondence Address:
Rajesh Modi
Akola Endoscopy Centre, Alsi Plots, Akola, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.85283

Rights and Permissions

The objective of this study was to evaluate the efficacy of aquadissection technique to reduce the blood loss in myomectomy and to assess the benefits and feasibility of the use of barbed suture for myometrial defect closure. Vasopressin is diluted with saline as 10 units of vasopressin for every 100 ml of saline. For a fibroid of about 8 cm size, 40 units of vasopressin is diluted in 400 ml of normal saline. The whole of 400 ml of this saline is injected in the myometrium. Incision is made on the uterus with just simple scissors (no energy source is required). As the uterus is cut, instead of bleeding, saline leakage takes place. This helps to keep the field clear and it is easier to get the correct plane between the fibroid and the myometrium. The separation of the fibroid is helped due to the dissection of the correct plane by the saline injection.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed8134    
    Printed311    
    Emailed3    
    PDF Downloaded421    
    Comments [Add]    

Recommend this journal