Full Description
This textbook and atlas presents a complete guide to laparoscopic hysterectomy from basics and types of hysterectomy, to discussion on surgical procedures, and potential complications.
Divided into seven sections, topics include basics, routes of hysterectomy, procedure, special considerations, complications, a 'food for thought' section, and commentary on the authors' own experiences. The book also includes recent advances such as robot-assisted surgery and LESS hysterectomy.
Highly illustrated with tables, flowcharts and graphs, this comprehensive text is accompanied by an interactive DVD ROM of videos demonstrating step by step surgical techniques.
Key Points
Comprehensive guide to laparoscopic hysterectomy for practising surgeons
Covers complete field from basics and types of hysterectomy, to procedures and complications
Includes recent advances such as robot-assisted surgery and LESS surgery
Accompanying DVD ROM demonstrates step by step surgical procedures
Contents
Section 1: Basics
Hysterectomy - Then and Now
Laparoscopic Pelvic Anatomy—an Overview
Indications of Hysterectomy
Preoperative Preparation
Anaesthetic Implications in Total Laparoscopic Hysterectomies
Instrumentation in TLH
Energy Sources in Total Laparoscopic Hysterectomy
Section 2: Routes and Types of Hysterectomy
Total Abdominal Hysterectomy
Vaginal Hysterectomy: The Signature of a Gynecologist
Laparoscopic Hysterectomy: The Game Changer
Choosing the Route of Hysterectomy
Section 3: The Procedure
Ports and Positioning
The Upper Pedicle
Bladder Dissection in TLH
Uterine Artery and Total Laparoscopic Hysterectomy
Cardinal Uterosacral Ligament Complex, Opening of the Vaginal Vault and Specimen Retrieval
Suturing of Vault in Total Laparoscopic Hysterectomy
Section 4: Special Considerations
Laparoscopic Uterine Artery Occlusion in Hysterecomy—Practical Tips and Tricks
TLH in a Large Uterus and Multiple Surgeries—Difficulties and Modifications
Total Laparoscopic Hysterectomy in Severe Endometriosis
Laparoscopic Radical Hysterectomy
Concomitant Stress Urinary Incontinence Surgery with Laparoscopic Hysterectomy
LESS Hysterectomy
Robot Assisted Laparoscopic Hysterectomy
Day Care Total Laparoscopic Hysterectomy
Section 5: Complications of TLH
General Complications of Laparoscopic Surgeries
Bladder Injuries in Total Laparoscopic Hysterectomy
Ureteric Injuries in Total Laparoscopic Hysterectomy
Bowel Related Complications of Operative Gynecological Laparoscopy
Vault Complications Following Total Laparoscopic Hysterectomy
Post Hysterectomy Vault Prolapse and Management
Conversion of TLH
Section 6: Food for Thought
Vaginal Hysterectomy in Era of TLH: The View from the Vaginal End
Are All Hysterectomies Indicated?
Alternatives to Hysterecomy in DUB
Section 7: Our Experience
Laparoscopic Hysterectomy (TLH) - Practical Tips
Index
DVD Content
Total Laparoscopic Hysterectomy Steps
Upper pedicles
Bladder dissection with scissors
Bladder dissection with harmonic
Uterine arteries cauterisation with bipolar
Uterine arteries cauterisation with enseal
Opening of vault with harmonic.
Opening of vault with monopolar
Vault Closure
Total Laparoscopic Hysterectomy Videos
Simple Total Laparoscopic Hysterectomy
Simple Total Laparoscopic Hysterectomy with Bilateral salpingo oophorectomy
Total Laparoscopic hysterectomy with previous LSCS
Total Laparoscopic Hysterectomy in endometriosis
Total Laparoscopic Hysterectomy in 20 weeks Multiple Fibroid uterus
Total Laparoscopic Hysterectomy in 32 weeks fibroid uterus
Supracervical Hysterectomy with sacrocervicopexy
Radical Hysterectomy
Total laparoscopic hysterectomy - SILS
Complications
Uterine artery injury and repair
Ureteric injury and repair
Bladder injury and repair
Bowel adhesions
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