MYOMECTOMY ATRAUMATIC
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Anywhere in the world, uterine myomectomy is more difficult than a hysterectomy, it is considered high risk and high surgical complexity that requires a special technique that few doctors perform because it is a very risky surgery for bleeding and dangerous by anatomical complications such as uterine deformation, endometriosis and adhesions that can cause accidental cutting of organs, vessels, nerves or lymphatics.
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Current surgical experiences show that laparoscopic myomectomy abdominal or mini-laparotomy presents less postoperative surgical morbidity and hysterectomy.
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In all myomectomy we perform most 13 surgical procedures, which could hardly be carried out only by conventional laparoscopy:
1. Myomectomy: We extract without bleeding all uterine fibroids.
2. Histeroplastia: We removed without damage myometrium and endometrium, hyperplasia, polyp, degenerate tissues; repairing and naturally shaping the uterus.
3. Hemostasis: Clean, we wash and coagulate all broken vessels.
4. Permeabilization: dilate the uterine cavity, horns, horns and the cervical canal, to have a good passage that allows fertilization and implantation of the fertilized egg.
5. Hysterography: With sutures and special and safe inputs closed all levels of the uterus to prevent uterine rupture and complications of a future pregnancy.
6. Myolysis: fibroid destruction by thermal heat.
7. Adhesiolysis: We release all intestinal adhesions, endometriosis or omentum.
8. Cystectomy: Removal of the membrane and cystic ovaries or fallopian content.
9. Fulguration: Coagulation and removal of pelvic endometriotic tissue.
10. Adenomiomectomia: Resection of adenomyosis and myometrial adenomyomatosis.
11. Extrauterine Myomectomy: Removal of myomas Intra ligaments in horns, in isthmus and cervix.
12.- Tubal sterilization: Reconstruction tubal obstruction or amputation.
13.- Resection Endometrial Ablation Endometrial with clotting dilated vessels to prevent pregnancy, bleeding, new fibroids or cancer.
BY ENDOSCOPIC MINILAPAROTOMY
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For years we have created an innovative surgical technique called HISTEROPLASTIA "Santov" which has allowed us to rescue the reproductive organs in more than one thousand age 20 Peruvian and foreign women and all have managed to retain their uterus and ovaries.
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This mini surgery 3 to 6 cms, allows us to quickly repair and rebuild the uterus, ovaries neck and safely without bleeding; also makes us feel, detect and remove all fibroids even the smallest and those who are hidden in inaccessible areas.
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With this technique, we extract all multiple myomas, medium, large or giant affecting the entire uterus and surrounding organs.
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In less than 3 hours without harm extract all uterine fibroids and adenomyosis and all kinds of tumours, cysts, or abnormal tissues causing female infertility.
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Sometimes we explore directly with the ultrasound transducer or vascular Doppler.
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Clinical stay for a day.
LAROSCOPIA GASLESS
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We are pioneers in abdominally using endoscopy Optics Flexible without gas, with direct vision through the navel and the port manipulate the instruments, making all the myomectomy by an invisible umbilical incision, being less risky than surgical laparoscopy using pneumoperitoneum with CO2, performing an umbilical puncture blind to introduce the trocar optic endoscope and 3 other abdominal punctures side to manipulate their instruments.
OUTPATIENT HYSTEROSCOPY
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Submucosal fibroids small type "0", "1", affecting the endometrial cavity and fertility, we remove ambulatory hysteroscopy.