PEPPVTP RSH
SPITS
FTES
CESAREA ABDOMINAL
(TECNICA DE MUNRO KERR)
SRT AR
* de cucllo“Utrino, estrechcz pelviana, rotura uerixa,
Operaciones Obstéricas 129
GE tomin
INDICACIONES.
Matomas: Dos o mis cesircas anteriores, carcinemit
desprendimiento placentario,
Aspirader:
Fetales: Situaciéa transversa, sufrimienta fetal agudo, ‘A
peer iacisn paiva nner e oe
Ovulares: Placenta previa oclusive total, rotura pre- Jeringe 20 C
matura de membranas, procidencia’ de cordén Peto t6-1e
umbilical alow :
(Becroisms)
OBJETIVO DE LA CIRUGIA pinay
Extraccidn del feto a través de un abordaje por via
abdominal,
POSICION DE LA PACIENTE ¥ DEL EQUIPO
Decibito dorsal y Trendelenburg. Antisepsia
vulvoperines!. Coloear soiida Fuley N° 16 0 18 Fr
conectada a bolsa colectora . Antisepsia abdominal, Foler 16-16
INCISION
Modiana infrausnbilical (Eventualmente Pfannesticl),
comapertura peritoneal. Ver cepitulo vias de abordaje,
Toca jules er
J colctors
PREPARACION DE LA CAVIDAD ABDOMINAL
Entregar valvasprapiibies yopcionalmenteseparador > ¢.
aulostiticodeBalfour, Colocaciindeunacompresads “Zi,fS i. = Comps
ae Raparo de gine
aénero reparada para desplavar las visceras,
HISTEROTOMIA (APERTURA DE L4 CAVIDAD
UTERINA)
Préflensitn del peritanco visceral con pinza ¢ediente- =
iilgs,, Incisién transversal del mismo con tijera de sad
Metzecbaum, lacisién del misculo utcrino con bisturi Weber
fhgja'23°24, pen luego perforar el mismo con uns Diesiecis
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