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• W2042307514 abstract "It is important to repair myometrial defect securely in laparoscopic myomectomy. Inadequate restoration of uterine cavity can increase the risk of post-operative complications. We introduce the novel technique to suture the myometrial defect with bottom up closure method. A transverse incision is made in the serosa overlying the fibroid using ultrasonic scalpel. While the assistant retracts the fibroid to the right side with tenaculum forceps, the surgeon starts continuous suturing with #0 Vicryl from the left edge of myometrial defect before fibroid is completely enucleated. If the uterine cavity is opened, the closure of the endometrial defect is immediately started with #3-0 PDSII from the left edge of it. The suturing of myometrial defect is restarted in two or three layers and the last serosal layer was closed with #3-0PDS continuously. We introduce three patterns of repairing technique. It is important to repair myometrial defect securely in laparoscopic myomectomy. Inadequate restoration of uterine cavity can increase the risk of post-operative complications. We introduce the novel technique to suture the myometrial defect with bottom up closure method. A transverse incision is made in the serosa overlying the fibroid using ultrasonic scalpel. While the assistant retracts the fibroid to the right side with tenaculum forceps, the surgeon starts continuous suturing with #0 Vicryl from the left edge of myometrial defect before fibroid is completely enucleated. If the uterine cavity is opened, the closure of the endometrial defect is immediately started with #3-0 PDSII from the left edge of it. The suturing of myometrial defect is restarted in two or three layers and the last serosal layer was closed with #3-0PDS continuously. We introduce three patterns of repairing technique." @default.
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• W2042307514 date "2011-11-01" @default.
• W2042307514 modified "2023-09-27" @default.
• W2042307514 title "Bottom-Up Suture in Laparoscopic Myomectomy" @default.
• W2042307514 doi "https://doi.org/10.1016/j.jmig.2011.08.318" @default.
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