giai phau noi soi trong phau thuat noi soi.pptx

giai phau noi soi 24 09 2024

1. SỞ Y TẾ HÀ NỘI BỆNH VIỆN PHỤ SẢN HÀ NỘI Laparoscopic Gynecologic Anatomy Giải phẫu phụ khoa nội soi SINH HOẠT KHOA HỌC Bùi Thanh Tùng Khoa Khám bệnh C1 Hà Nội – 2024

2. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

3. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance Dr. Hans Christian Jacobaeus (1879-1937) https://en.wikipedia.org/wiki/Hans_Christian_Jacobaeus evaluate the peritoneal cavity 17 patients with ascites 1910, Dr. Hans Christian Jacobaeus , was the first to publish a description of abdominal cystoscopy in humans. first laparoscopy sterilization 1944, Raoul Palmer first hysterectomy 1989, Reich 1933, Carl Fervers first surgical laparoscopy ( adhesiolysis ) 1924, Zollikofer CO2 insufflation 1952, Fourestier Cold Light Illumination 1961, Hopkins Optic 1973, Thermocoagulation

4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8714650/ first endoscopy in humans 1910,Jacobaeus 1933, Carl Fervers first surgical laparoscopy ( adhesiolysis ) first laparoscopy sterilization 1944, Raoul Palmer 1924, Zollikofer CO2 insufflation 1952, Fourestier Cold Light Illumination 1961, Hopkins Optic 1973, Thermocoagulation first hysterectomy 1989, Reich

5. “ Anatomy is the basis of medical science ”

6. The pelvic region Organs: Uterus Adnexa Ureters Urinary bladder Rectum

7. The abdominal region Organs: Liver Gall bladder Stomach Intestines Appendix

8. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

9. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance Superior: Pelvic inlet Inferior: pelvic floor Anterior: pubic symphysis Posterior: sacrum, coccyx Lateral: obturator internus

10. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

11. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance Sacrum Coccyx Ilium Ischium Pubic bone

12. Psoas minor Psoas major Iliacus Adductor brevis Adductor longus Gracilis

13. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

14. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

15. Ureter passes posterior and inferiorly Ligated in oophorectomy => accidental damage

16. Ureter passes posterior and inferiorly Ligated in oophorectomy => accidental damage Clinical significance uterer damage (e.g. oophorectomy)

17. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

18. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

19. Clinical significance pudendal nerve block Block tk thẹn , tx đau mu mạn tính

20. Clinical significance pudendal nerve block

21. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance

22. Overview Boundaries Skeleton & Muscles Vascular anatomy Nerves Others Clinical significance 3 cấu trúc giữ buồng trứng Dc trứng chính , trứng phụ , mạc treo buồng trớng

23. Xoắn buồng trứng , 2 nguồn máu , nguồn chính là đm buồng trứng , nguồn phụ tách từ đm tử cung Clinical significance ovarian torsion => ovarian artery block

24. 3 cấu trúc giữ tử cung + dc rộng broad ligament of the uterus ( mạc treo tử cung Mesometrium , mạc treo vòi tử cung Mesosalpinx , mạc treo buồng trứng Mesovarium ) + dc tròn + 3 cặp dc CTC: dc tử cung cùng , dc ngang tử cung , dc mu cổ tử cung )

25. Tổn thương uterosacral lig => sa sinh dục

26. Clinical significance pelvic organ prolapse

27. Clinical significance pelvic organ prolapse

28. Clinical significance uterer damage tổn thương niệu quản , vì đm tử cung đi trong DC ngang cổ tử cung

29. Clinical significance uterer damage hysterectomy

30. “As anatomy is the basis of medical science , it guides both the eye and the hand of the surgeon and inspires (the surgeon) him with a ready confidence to search among the most delicate structures, whose lesion would be mortal.” Dr.Thomas Rhodes Armitage (1824-1890) https://onlinelibrary.wiley.com/doi/10.1002/ca.23978