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.
- 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
B Ramesh MD DGO FCPS FICOG
Gynaecology Laparoscopic Surgeon, Dr Ramesh Hospital, Bengaluru, Karnataka, India
Pooja Sharma Dimri MD FMIS
Gynaecology Laparoscopic Surgeon, Mumbai, Maharashtra, India
Section 1: Basics 1. Hysterectomy – Then and Now 2. Laparoscopic Pelvic Anatomy—an Overview 3. Indications of Hysterectomy 4. Preoperative Preparation 5. Anaesthetic Implications in Total Laparoscopic Hysterectomies 6. Instrumentation in TLH 7. Energy Sources in Total Laparoscopic Hysterectomy Section 2: Routes and Types of Hysterectomy 8. Total Abdominal Hysterectomy 9. Vaginal Hysterectomy: The Signature of a Gynecologist 10. Laparoscopic Hysterectomy: The Game Changer 11. Choosing the Route of Hysterectomy Section 3: The Procedure 12. Ports and Positioning 13. The Upper Pedicle 14. Bladder Dissection in TLH 15. Uterine Artery and Total Laparoscopic Hysterectomy 16. Cardinal Uterosacral Ligament Complex, Opening of the Vaginal Vault and Specimen Retrieval 17. Suturing of Vault in Total Laparoscopic Hysterectomy Section 4: Special Considerations 18. Laparoscopic Uterine Artery Occlusion inHysterecomy—Practical Tips and Tricks 19. TLH in a Large Uterus and Multiple Surgeries—Difficulties and Modifications 20. Total Laparoscopic Hysterectomy in Severe Endometriosis 21.Laparoscopic Radical Hysterectomy 22. Concomitant Stress Urinary Incontinence Surgery with Laparoscopic Hysterectomy 23. LESS Hysterectomy 24. Robot Assisted Laparoscopic Hysterectomy 25. Day Care Total Laparoscopic Hysterectomy Section 5: Complications of TLH 26. General Complications of Laparoscopic Surgeries 27. Bladder Injuries in Total Laparoscopic Hysterectomy 28. Ureteric Injuries in Total Laparoscopic Hysterectomy 29. Bowel Related Complications of Operative Gynecological Laparoscopy 30. Vault Complications Following Total Laparoscopic Hysterectomy 31. Post Hysterectomy Vault Prolapse and Management 32. Conversion of TLH Section 6: Food for Thought 33. Vaginal Hysterectomy in Era of TLH: The View from the Vaginal End 34. Are All Hysterectomies Indicated? 35. Alternatives to Hysterecomy in DUB Section 7: Our Experience 36. Laparoscopic Hysterectomy (TLH) - Practical Tips Index DVD Content · Total Laparoscopic Hysterectomy Steps o Upper pedicles o Bladder dissection with scissors o Bladder dissection with harmonic o Uterine arteries cauterisation with bipolar o Uterine arteries cauterisation with enseal o Opening of vault with harmonic. o Opening of vault with monopolar o Vault Closure · Total Laparoscopic Hysterectomy Videos o Simple Total Laparoscopic Hysterectomy o Simple Total Laparoscopic Hysterectomy with Bilateral salpingo oophorectomy o Total Laparoscopic hysterectomy with previous LSCS o Total Laparoscopic Hysterectomy in endometriosis o Total Laparoscopic Hysterectomy in 20 weeks Multiple Fibroid uterus o Total Laparoscopic Hysterectomy in 32 weeks fibroid uterus o SupracervicalHysterectomy with sacrocervicopexy o Radical Hysterectomy o Total laparoscopic hysterectomy - SILS · Complications o Uterine artery injury and repair o Ureteric injury and repair o Bladder injury and repair o Bowel adhesions