-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
1/46
Ar. EASK MESOHOAET JKSKO
LFSUDHOK KOLK@KGK
GFOELK@KGK-KOLK@KGK
FSEO OKSQEQSUDF@@K - ESU
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
2/46
\uctkth` Mystereltkjy\fjp`e Qkth` Mystereltkjy
Shaflh` Hcakjfoh` MystereltkjyQfpks4 F-R
Ar. MESOOAET
^fver-Sut`eage
Rfhs4Hcakjfoh`Rhgfoh`@hphrkslpflh
3
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
3/46
Ar. MESOOAET
Qfpk4 F Mfstereltkjh extrhbhslfh`
FF Mfstereltkjh rhaflh` jkafbflhah@fobhaeoeltkjh kplfkoh`
FFF L`sflh kperhlfo4 Wertmefj-Jefgs
FR Sejklfo js exteosh4
vhgfoh9 resellfo vhsks F.F.
R Mfstereltkjh rhaflh` exteoafah
Mfstereltkjh4 ^fverSut`eage 8661
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
4/46
Mfstereltkjh Hjp`fhah h Rhgfoh,Extrhbhslfh` k Shaflh`
Ar. MESOOAET 1
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
5/46
Este tfpk ae Mfstereltkjh ok seeolueotrh aeslrfth.
\e reh`fzh eo ouestrh fostftulfo, hs
lkjk eo e` FOEO.\e utf`fzh `h tloflh qufrrgflh ae
Cerei-Mhliers, Curgmhrat k Skli.\e afselho `ks = esphlfks p`vflks,
phrh `kgrhr e` hckrahde haeluhak yexpkoer `h vhgfoh.
Ar. MESOOAET
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE.
5
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
6/46
\e retfrh ae 3-< lj. ae vhgfoh.Foaflhlfkoes4
LF\ Lh Jflrkfovhskr sfo LR@.
\e evfth `hs relurreolfhs h ofve` `klh`.Rh ae hckrahde4
MHR lkoveolfkoh`
MHR `hphrkslpflh.Ok reh`fzhjks MHQ ae rutfoh.
Ar. MESOOAET
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE.
2
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
7/46
Hohtkjh Xufrrgflhterk y hoexks
^e`vfs bejeofoh, eo vfsth brkoth`, hoterfkr y lkrkoh`.
Ar. MESOOAET 7
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
8/46
Hohtkjh Xufrrgflh
Hohtkjh qufrrgflh ae `h H. Uterfoh y urter
Ar. MESOOAET =
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
9/46
Ar. MESOOAET
Qfpks Mfstereltkjh4MHR, Extrhbhslfh` y Shaflh`
FSHAFLH@FFF FF
MS4 EL F-FFHFF EL FH3, FH8lko LR@,
FFF EL FC8-FFH
Cerei hoa Mhlier 's Gyoelk`kgfl Kolk `kgy, 5tm Eaft fko Lkpyrfgmt 3>8> @fppfolktt Wf``fhjs & Wf`ifos
6
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
10/46
Cerei hoa Mhliers, Gyoelk`kgfl Kolk`kgy 5tm eaftfko, @fppfolktt 3>8>.
FFF [email protected]`
H. Uterfoh^hrhlrvfx^hrhlk`pks
Qfpk FF4 \e retfrh phrhjetrfks, phrhlrvfx y phrhlk`pks mhsth `h jftha.
Qfpk FFF4 \e retfrh phrhjetrfks, phrhlrvfx y phrhlk`pks mhsth e` muesk p`vflk.
Ar. MESOOAET 8>
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
11/46
Hohtkjh Xufrrgflh^e`vfs bejeofoh
Ar. MESOOAET 88
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
12/46
@hphrhtkjh exp`krhakrh @fghjeotks terk-kvrflks y Qrkjphs @fghjeotks reakoaks @fghjeotks holmks @fghjeotks Fobuoafcu`kp`vflk Esphlfk Resflk-uterfok Esphlfk phrhvesflh` Esphlfk reltkuterfok Esphlfk phrhrrelth` @fghaurh Hrterfhs Uterfohs @fghjeotks Lhrafoh`es @fghjeotks terkshlrks @fobhaeoeltkjfh ^`vflh y ^hrhhrtflh
Ar. MESOOAET 83
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
13/46
Rhgfoh`4 \ellfo y lferre Sevfsfo mejksthsfh Seperftkofzhlfo Lferre ae ^hrea hcakjfoh`.
Ar. MESOOAET 8>6.
85
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
16/46
Ar. MESOOAET
\e utf`fzh e` \F\QEJH SUJF IKM F, lko kshlleskrfks Qfps y Lk`pktkjfzer4 Lups.
\ervflfk ae G foelk `kgh Kol k`gflh, FSEO OKSQE.
82
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
17/46
Ar. MESOOAET
Qloflh XufrrgflhHohtkjh ^e`vfs Bejeofoh
Rfsth pksterk superfkr, lko perftkoek fothltk
Oetter
LUESOK\
Exp`krhlfo p`vflh y hcakjfoh`
87
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
18/46
Ar. MESOOAET
QLOFLH XUFSSGFLH@fghjeotks Uterk-Kvrflks y Qrkjphs
^fozh Jhyk, Sklmester, Mehoey,
Iklmer, Klmsoer, ^eo.
^fozhjfeotk ae `ks lueroks lko ^fozh aeJhyk4 Fol`uye @fg. Seakoak, trkjph y @fg.
Uterk kvhrflk.
8=
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
19/46
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.
Ar. MESOOAET 86
^fozhs ae Jhyk skcre `ks lueroks.
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
20/46
Ar. MESOOAET
QLOFLH XUFSSGFLHRfsth `hterh`
^fozh Jhyk, Mehoey,Iklmer, Klmsoer^fozh \lmrkeaer
^fozhjfeotk ae `ks lueroks.
3>
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
21/46
Ar. MESOOAET
QLOFLH XUFSSGFLH@fghjeotks Seakoaks
Mf`k O 8> l/h JhykRflry` O 3/> JM-8
Hl. ^k`fg`fl`flk O
3/> JS ,
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
22/46
QLOFLH XUFSSGFLHQSHO\BF]FO @FG SEAKOAK\
A S . M E S O O A E T
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.
@fghaurh
trhosbfxfhote
ae` `fghjeotk
reakoak lko
Rflry` 3/>, > LQ-8
y ie``y prkxfjh`
k afsth`.
33
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
23/46
QLOFLH XUFSSGFLH@fghjeotks Seakoaks
Qloflh Fostrujeothah4 Ie``y-Ie``y
\ellfo ae `ks @fghjeotks Seakoaks lko ^fozhs ae Ie``y.
Ar. MESOOAET 3, 8>
Rflry` O >, 3/> LQ-8, LQ-3
Hl. ^k`fg`fl`flk O >, 3/> JS -
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
28/46
Ar. MESOOAET
QLOFLH XUFSSGFLH@fghjeotk Fobuoacu`k p`vflk
@fghaurh ^fozh kJkothah y Qrhosbfxfo
^fozh Lrhbkkra, \hrkt, Sklmester, Ahoay, Jhyk, Mehoey,^eo, Jfxter.
^eoLrhbkkra
\ellfo ae` @fghjeotk Fobuoacu`kp`vflk, lko aks pfozhs Lrhbkkraprkxfjh`es y uoh afsth`, lko `fghaurh trhosbfxfhote e fostrujeothah.
3=
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
29/46
QLOFLH XUFSSGFLH@fghjeotk Fobuoacu`k p`vflk
^rkleaures Gyoelk`kgfl, Skli-Dkoes.
Ar. MESOOAET 36
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
30/46
Ar. MESOOAET
QLOFLH XUFSSGFLH^SE\ESRHLFO AE GKOHAH\
@fghjeotk Uterk-Kvrflk y Qrkjphs
Lhprkby` O 8, >, 3/> JS -, 3/>
Rflry` O 8, > LQ-8
^A\ FF O > LQ-8
Cerei, Oymus.
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
31/46
Ar. MESOOAET
QLOFLH XUFSSGFLHEsphlfks Resflk-uterfok y phrhvesflh`
\ellfo ae `h mkdh hoterfkr ae` `fghjeotkholmk y Afsellfo ae` Esphlfk Rsflk-uterfok.
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
32/46
Ar. MESOOAET
QLOFLH XUFSSGFLHEsphlfks Resflk-uterfok y phrhvesflh`
Afsellfo Esphlfk vsflk uterfok y ^hrhvesflh`
Utf`fzhjks4
^fozh Afsellfo
+ Qfderh Jetzeochuj
+ \whc
k E`eltrkcfsturf
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
33/46
Ar. MESOOAET
QLOFLH XUFSSGFLHEsphlfk Seltk-uterfok y ^hrhrrelth`
^fozh Lrhbkkra, Jhyk,Mehoey, eo, Sklmester.
\ellfo ae Mkdh pksterfkr ae` `fghjeotk holmk yAfsellfo Esphlfk Seltkuterfok y phrhrrelth`
\ellfo @fg.Uterkshlrks
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
34/46
Ar. MESOOAET
QLOFLH XUFSSGFLHQfejpk ae `hs Hrterfhs Uterfohs4
^fozhs Uterfohs4 Jhyk, Mehoey, Bhure.
BhureMehoey
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
35/46
Ar. MESOOAET
QLOFLH XUFSSGFLHHrterfhs Uterfohs
Lhprkby` O 8Lhtgut O 8Rflry` O 8
Lk`klhlfo ae aks pfozhs ae Jhyk y @fghaurhQrhosbfxfhote e fostrujeothah ae `hs Hrterfhs Uterfohs.
^fozh Jhyk^fozh Mehoey^fozh Bhure^fozh Mefss^fozh Sklmester
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
36/46
QLOFLH XUFSSGFLH@fghaurh y \ellfo Hrterfhs Uterfohs
Ar. MESOOAET
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
37/46
Ar. MESOOAET
QLOFLH XUFSSGFLH@fghjeotks Lhrafoh`es (^hrhjetrfks)
^fozh Jhyk^fozh Mehoey^fozh Bhure^fozh Mefss^fozh Sklmester
Rflry` O 8Rflry` O >Hl. ^k`fg`fl`flk O8, > JS Hgudh ae Jhyk k brholeshRflry` O 3/>
Lk`klhlfo ae aks pfozhs ae Jhyk y \ellfo @fghjeotkLhrafoh`4 ^hrhjetrfks
Mefss
(Jhlieorkat)
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
38/46
QLOFLH XUFSSGFLH\ellfo ae ^hrhjetrfks
Lk`klhlfo ae ^fozh ae Jhyk, Sklmester Lhrjh`t y sellfoae `fghjeotks lhrafoh`es k phrhjetrfks.
Ar. MESOOAET
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
39/46
Qfejpk Rhgfoh`^fozhs phrh Rhgfoeltkjfh4 Wertmefj, Jkyofmho.
Ar. MESOOAET
^fozh Jhyk^fozh Mehoey^fozh Bhure^fozh Mefss^fozh Sklmester
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
40/46
Ar. MESOOAET
QLOFLH XUFSSGFLHQfejpk vhgfoh`4 Rhgfoeltkjh
^fozh Jkyofmho, Wertmefj
\ellfo ae Rhgfoh4Qloflh Lerrhah4 ^fozh Jkyofmho, Wertmefj.Qloflh Hcferth 4 E`eltrkcfsturf
1>
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
41/46
QLOFLH XUFSSGFLHQfejpk vhgfoh`4 Rhgfoeltkjh
\e l`hjph lko pfozh ae Wertmefj, Jkyofmho, Lu``eo.
Ar. MESOOAET 18
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
42/46
QLOFLH XUFSSGFLH\ellfo vhgfoh`
Lk`klhlfo ae pfozhs ae Wertmefj k Jkyofmho y sotesfs lkoRflry` O > LQ-8.
Ar. MESOOAET
\ervflfk ae Gfoelk`kgh Kolk`gflh, FSEO OKSQE 3>>=.
13
-
7/22/2019 HISTERECTOMA AMPLIADA A VAGINA Y EXTRAFASCIAL Tcnica Quirrgica DR. HERNANDEZ Ene 2010
43/46
Ar. MESOOAET
QLOFLH XUFSSGFLH\otesfs Rhgfoh`
Hltuh`jeote eo ouestrh Fostftulfko, reh`fzhjks lferre tkth` aevhgfoh.
Lferre ae vhgfoh lko kr`hRflry` O >Rflry` O 8
1