1 sBaØaNTUeTAénkarbBaÄ b;kMeNItCaGciéRnþcMeB aHRsþþI karcgéds,Ún CameFüa)aymYykñúgcMeNa...
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1 sBaØaNTUeTAénkarbBaÄb ;kMeNItCaGciéRnþcMeBa HRsþþI karcgéds,Ún CameFüa)aymYykñúgcMeNammeFüa)ayén kmµviFIBnüarkMeNIt CameFüa)ayEdlmansuvtßiPaBCaTIbMpu t³ plvi)akticCag 1° CameFüa)ayEdlmanRbsiT§iPaBx<s;
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Transcript of 1 sBaØaNTUeTAénkarbBaÄ b;kMeNItCaGciéRnþcMeB aHRsþþI karcgéds,Ún CameFüa)aymYykñúgcMeNa...
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sBaØaNTUeTAénkarbBaÄb;kMeNItCaGciéRnþ
cMeBaHRsþþIkarcgéds,Ún
CameFüa)aymYykñúgcMeNammeFüa)ayénkmµviFIBnüarkMeNIt
CameFüa)ayEdlmansuvtßiPaBCaTIbMput³ plvi)akticCag 1°
CameFüa)ayEdlmanRbsiT§iPaBx<s;
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RbsiT§iPaBénmeFüa)ayBnüarkMeNItkñúgry³eBl12ExtMbUgénkareRbIR)as;
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Condom
IUD
POC with breastfeeding
Tubal Ligation
DMPA
COC
Norplant
Vasectomy
Commonly used Correctly & Consistently used
3
VSC services 1998 1999 2000 2001 2002 Total #
Vasectomy 2 6 7 416 203 636
Tubal Ligation
Elective
+ Surgery
16
126
17
117
37
151
149
107
867
116
1082
617
Total 144 140 195 672 1186 2335
kareRbIR)as;meFüa)aybBaÄb;kMeNItkñúgbNþaextþKaMRTeday RACHA nig Partnership
4
karerobcMGtifiCnmuneBlvHk
at;
Session 01
1> RbvtþisuxPaB³BinitüemIlÉksarsuxPaBrbs;GtifiCn
BinitüemIlRbvtþisuxPaBeLIgvijmunvHkat;
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2> karBinitüsuxPaB³
karerobcMGtifiCnmuneBlvHkat;
Session 01
sßanPaBTUeTA sBaØasMxan;²³ sßanPaBebHdUg nigsm<aFQam
sÞabeBaH BinitüGagRtKakedIm,IrkemIlCMgWmYycMnYnEdlTamTarkarBüa)almun
eBlvHkat; dUcCaFøak;sBImat;s,Ún CMgWrlakGagRtKak
s,ÚnrIkFMedaysarkarmanépÞeBaH kMNt;TItaMgs,Ún PaBbt;rbs;va clna TMhM rUbrag karQWcab; >>>
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3> lkç½NÐEdlminGacvHkat;)an
karerobcMGtifiCnmuneBlvHkat;
Session 01
KµankarhamXat;CaGciéRnþy¾mineGayvHcgéds,ÚneT elIkElgEt³
karmanépÞeBaH b¤sgS½yfamanépÞeBaH
mankøayeraKenAGagRtKakRsYcRsav
eGm:UkøÚb‘In ticCag 7Rkam CMgWsésR)asaT GñkEdlminTan;erobkar minRtwmRtÚvtameKalneya)ayrbs;RksYgsuxaPi)al
7
karkMNt;TIkEnøgEdlRtÚvvH
Pubis
± 3 cm
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karkMNt;TIkEnøgEdlRtÚvvH
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kardak;]bkrN’bMbHs,Ún
krNIs,Únbt;eTAmux
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kardak;]bkrN’bMbHs,Ún
krNIs,Únbt;eTAeRkaykarbMbHs,ÚnmkkEnøgvHebIk
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karcak;fñaMsðwkDiamond technique
•Lidocaine, 20 ml, 1%, no adrenaline
•No air injection in the bottle
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karcak;fñaMsðwkDiamond technique
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karcak;fñaMsðwkDiamond technique
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karcak;fñaMsðwkDiamond technique
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karcak;fñaMsðwkDiamond technique
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Minilap Incision
1. Skin incision
2. Subcutis with retractors
3. Fascia incision with scissors
4. Intra-peritoneal retractors
5. Presenting uterus with elevator
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Uterus and Fallopian Tubes Front view
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karcgnigkat;éds,ÚnPomeroy Methode
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Blood supply
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Pomeroy Method1. Identification of the Fallopian Tube
2. Grasping tube with Babcock clamp
3. Tying tube with vicryl suture
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Fallopian tube position and anatomy
Loop
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karcgnigkat;éds,ÚnPomeroy Method
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kardak;sugTwkenamRtÚveCosvag ebIGaceFVI)an GtifiCnRtÚvfitenA
Lithotomy position hamdak;kMeRbsenAkñúgTVa RsTab; Subcutaneous RtÚvTajeday retractors Canic©CakalRtÚv)aj;fñaMs<wkeTAelI uterus and tubes
RtÚvcab; fallopian tubes eday)uaMg Babcock bJu Allis
hamdak;kMeRbsenAkñúgeBaH
dMeNIrkarén mini-laparotomy
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Standardization: Lidocaine 1% 20 ml Drugs:
Pentazocine 30 mg Atropine 0.5 mg Diazepam 10 mg
Modified Pomeroy technique Vicryl or chromic catgut sutures
dMeNIrkarén mini-laparotomy
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eRkayeBlvHkat
minmankarERbRbYlGVIeLIy cMeBaHRsþI eRkaykarvHkat;
