Laparoscopic Gynecological Surgery

Taim i gat bikpela pas namel long 'ovarian fallopian tube' na 'peritoneum' klostu long 'lateral pelvic wall' o 'uterosacral ligament', sapos operesen i no stret, dispela bai givim bagarap long 'ureteral'. Em inap kamap long ol instramen o bagarap bilong pawa. Em i ken kamap olsem 'complet transection' o 'partial injury'. Ol hevi bilong en i go long mak bilong bagarap, taim bilong painim na sapos tritmen i kamap long taim stret na i stret. Taim yu painim wanpela bagarap o bagarap we yu no bilip long en, plis toktok wantaim 'urology' dipatmen long kisim stretpela tritmen long taim stret, sapos nogat dispela bai kamapim bikpela hevi. Bikpela samting bilong stopim sik em sapos ol dokta i save gut long 'anatomical position' bilong 'ureter' insait long 'pelvic cavity' na ol hap we i save kisim bagarap. Bikpela 'pelvic adhesion' i save mekim 'pelvic peritoneum' i kamap tik, em i hat long luksave long rot bilong 'ureter' aninit long en, na em i isi long katim 'urinary catheter' o givim bagarap long lektrik long rot bilong 'rash separation', 'ligation' na 'hemostasis'. Long dispela taim, ol i mas opim 'retroperitoneum' pastaim long painim 'ureter', na bihain ol i mas mekim 'lysis' bihain long ol i lukim 'running direction' bilong en na rilesensip wantaim 'adhesion site'. Narapela rot em long putim 'ureteral catheter' pastaim long operesen, we i helpim long luksave long ples bilong 'ureter'. Skelim long rot bilong katim man: i luk olsem i no save kamap planti taim long 'ovarian' na 'fallopian tube', na planti taim ol narapela 'pelvic organ' i save pas long en. O long narapela sait, 'ovarian tubal adhesion' em i save stap insait long 'pelvic adhesion'. Olsem na, em i gutpela moa long kolim olsem 'pelvic adhesion lysis'. Ol prinsipol bilong wok, ol samting bilong wok na ol skil we tupela i bihainim i wankain, tasol laspela i gat bikpela wok moa. Maski dispela operesen i save rausim tasol 'adhesion', em i as bilong ol narapela laparoskopik operesen na em i wanpela hevi bilong laparoskopik operesen. Pastaim, olgeta teknik we ol i save yusim long rausim 'adhesion', olsem 'clamp', 'traction', 'exposure', 'separation', 'cutting', 'electrocautery', 'electrocoagulation' na 'suture', em ol as bilong 'laparoskopik operesen'. Sapos yu no save gut long ol, yu no inap toktok long ol narapela operesen. Namba tu, sapos ol i no stretim hevi bilong 'pelvic adhesion' na ol i no klia long 'anatomical position' bilong ol kain kain 'tissues' na 'organs', sapos ol i fosim ol narapela operesen, dispela inap long kamapim bikpela bagarap, we em i wanpela bikpela tambu bilong operesen. Na tu, ol 'pelvic adhesions' i save kamap long ol sikmanmeri we i no inap karim pikinini na i gat pen long 'pelvic' oltaim. Sapos ol i no stretim gut ol 'adhesions' o ol bikpela 'adhesions' i kamap bihain long operesen, dispela i no stret wantaim as tingting bilong dispela operesen. Olsem na, ol opereta i mas lainim ol kain kain skil bilong 'laparoscopic surgery', save gut long 'anatomical' rilesensip bilong ol bikpela 'pelvic' na 'abdominal organs', na inap long painim ol samting we i no stret long taim na stretim gut. Olsem na, dispela operesen i no gutpela long ol nupela manmeri.