Page 24 - Plasticos-Vol-3
P. 24

Uterine artery can be seen clearly in the center of the picture. Satinsky clamp in situ and arteriotomy can
                     be appreciated just next to the uterine artery on the right side in the above picture.


           Intravenous methylprednisolone 500 mg was          side manner using 7-0 Prolene continuous
           given just before uterine reperfusion. Bilateral   sutures under an operating loupe. These
           Uterine veins were anastomosed with the            anastomosis  were  performed  in  the  first  two
           external illiac veins. Bilateral ovarian veins were   cases and in the subsequent cases depending
           anastomosed to the external iliac veins. (Picture   on the vessel length and local conditions, some
           3)  All  anastomosis  were  performed  in  end  to   improvisation was done as is needed with any
                                                              microvascular case.




























            After completion of the anastomosis the supports      Uterine supports being attached after the
             of the uterus were attached to ensure the organ     anastomosis. Note the healthy  colour of the
                            stays in position                        organ after restoring the blood flow
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