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My Experiences with SRS Needle in Non Descent Vaginal Hysterectomy ,[object Object],[object Object],[object Object],Dr.Sudhir Shah Rajkot
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pendulum swings from Abd. To Vag.since last couple of yrs Gynecologists have started to believe that  Every Uterus can be and should be removed VAGINALLY   unless the route is contraindicated Previously 80% of Hyst.were Abdominal A:V  80:20 Now 70 % are Vaginal Hyst.  V:A  70:30 It differs from center to center
Vaginal Hysterectomy ADVANTAGES Quick and easy surgery No Visible scar Faster Recovery 1 Night Hospital stay Less Convalescence Period Low Complication Cost Effective as compare to Abdominal hys.
Since the Incidence of NDVH surgery has increased ,[object Object],[object Object],[object Object]
Challenging step ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
With 40 mm Half Circle Needle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Repetitive unsuccessful attempt causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To overcome this ,[object Object],[object Object],[object Object],[object Object],[object Object]
We designed  new 20 mm short straight needle  to make these steps comfortable and easy. ,[object Object]
When we tried it……. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Needle is inserted from below Here is the Schematic Representation
Schematic Represent It comes out in front..
Schematic Represent Pulled out…..
Schematic Represent Reinserted to Transfix
Schematic Represent Pulled out again …
Schematic Represent When available space above the pedicle is more then below the pedicle
This shows How Difficult wrist joint movement is with half  Circle needle.  It gives PAIN at wrist  and shoulder joint
Here is an easy movement with short straight needle No Pain at wrist or shoulder joint
insertion in the the Pedicle   is easy insertion in the Pedicle   is difficult 20 mm Straight Needle   40 mm half circle Needle
Surrounding structures like lateral wall of vagina and lateral part of pedicle are not injured   Surrounding structures may injured   20 mm Straight Needle   40 mm half circle Needle
Less space required to handle the needle   More space required to handle the needle   20 mm Straight Needle   40 mm half circle Needle
Movement of the wrist Joint is quite Easy Movement of the wrist Joint is quite Difficult 20 mm Straight Needle   40 mm half circle Needle
Our Experience ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Now Available in Market SRS Needle – PETCRYL- FS 2545 Dolphin Sutures

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My Experiences With SRS Needle

  • 1.
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  • 3. Pendulum swings from Abd. To Vag.since last couple of yrs Gynecologists have started to believe that Every Uterus can be and should be removed VAGINALLY unless the route is contraindicated Previously 80% of Hyst.were Abdominal A:V 80:20 Now 70 % are Vaginal Hyst. V:A 70:30 It differs from center to center
  • 4. Vaginal Hysterectomy ADVANTAGES Quick and easy surgery No Visible scar Faster Recovery 1 Night Hospital stay Less Convalescence Period Low Complication Cost Effective as compare to Abdominal hys.
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  • 13. Needle is inserted from below Here is the Schematic Representation
  • 14. Schematic Represent It comes out in front..
  • 17. Schematic Represent Pulled out again …
  • 18. Schematic Represent When available space above the pedicle is more then below the pedicle
  • 19. This shows How Difficult wrist joint movement is with half Circle needle. It gives PAIN at wrist and shoulder joint
  • 20. Here is an easy movement with short straight needle No Pain at wrist or shoulder joint
  • 21. insertion in the the Pedicle is easy insertion in the Pedicle is difficult 20 mm Straight Needle 40 mm half circle Needle
  • 22. Surrounding structures like lateral wall of vagina and lateral part of pedicle are not injured Surrounding structures may injured 20 mm Straight Needle 40 mm half circle Needle
  • 23. Less space required to handle the needle More space required to handle the needle 20 mm Straight Needle 40 mm half circle Needle
  • 24. Movement of the wrist Joint is quite Easy Movement of the wrist Joint is quite Difficult 20 mm Straight Needle 40 mm half circle Needle
  • 25.
  • 26. Now Available in Market SRS Needle – PETCRYL- FS 2545 Dolphin Sutures

Editor's Notes

  1. One of the most dramatic change in the route of removal the uterus during the last three-four years is switching over from Abdominal to Vaginal irrespective of its undescentness volume(fibroids,Adenomyosis) previous surgeries on it. One of the most dramatic change in the route of removal the uterus during the last three-four years is switching over from Abdominal to Vaginal irrespective of its undescentness volume(fibroids,Adenomyosis) previous surgeries on it. One of the most dramatic change in the route of removal the uterus during the last three-four years is switching over from Abdominal to Vaginal irrespective of its undescentness volume(fibroids,Adenomyosis) previous surgeries on it.