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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 PointsComprehensive guide to laparoscopic hysterectomy for practising surgeonsCovers complete field from basics and types of hysterectomy, to procedures and complicationsIncludes recent advances such as robot-assisted surgery and LESS surgeryAccompanying DVD ROM demonstrates step by step surgical procedures
B Ramesh MD DGO FCPS FICOGGynaecology Laparoscopic Surgeon, Dr Ramesh Hospital, Bengaluru, Karnataka, India Pooja Sharma Dimri MD FMISGynaecology Laparoscopic Surgeon, Mumbai, Maharashtra, India
Section 1: BasicsHysterectomy – Then and NowLaparoscopic Pelvic Anatomy—an OverviewIndications of HysterectomyPreoperative PreparationAnaesthetic Implications in Total Laparoscopic HysterectomiesInstrumentation in TLHEnergy Sources in Total Laparoscopic Hysterectomy Section 2: Routes and Types of HysterectomyTotal Abdominal HysterectomyVaginal Hysterectomy: The Signature of a GynecologistLaparoscopic Hysterectomy: The Game ChangerChoosing the Route of Hysterectomy Section 3: The ProcedurePorts and PositioningThe Upper PedicleBladder Dissection in TLHUterine Artery and Total Laparoscopic HysterectomyCardinal Uterosacral Ligament Complex, Opening of the Vaginal Vault and Specimen RetrievalSuturing of Vault in Total Laparoscopic Hysterectomy Section 4: Special ConsiderationsLaparoscopic Uterine Artery Occlusion in Hysterecomy—Practical Tips and TricksTLH in a Large Uterus and Multiple Surgeries—Difficulties and ModificationsTotal Laparoscopic Hysterectomy in Severe EndometriosisLaparoscopic Radical HysterectomyConcomitant Stress Urinary Incontinence Surgery with Laparoscopic HysterectomyLESS HysterectomyRobot Assisted Laparoscopic HysterectomyDay Care Total Laparoscopic Hysterectomy Section 5: Complications of TLHGeneral Complications of Laparoscopic SurgeriesBladder Injuries in Total Laparoscopic HysterectomyUreteric Injuries in Total Laparoscopic HysterectomyBowel Related Complications of Operative Gynecological LaparoscopyVault Complications Following Total Laparoscopic HysterectomyPost Hysterectomy Vault Prolapse and ManagementConversion of TLH Section 6: Food for ThoughtVaginal Hysterectomy in Era of TLH: The View from the Vaginal EndAre All Hysterectomies Indicated?Alternatives to Hysterecomy in DUB Section 7: Our ExperienceLaparoscopic Hysterectomy (TLH) - Practical Tips Index DVD Content Total Laparoscopic Hysterectomy StepsUpper pediclesBladder dissection with scissorsBladder dissection with harmonicUterine arteries cauterisation with bipolarUterine arteries cauterisation with ensealOpening of vault with harmonic.Opening of vault with monopolarVault Closure Total Laparoscopic Hysterectomy VideosSimple Total Laparoscopic HysterectomySimple Total Laparoscopic Hysterectomy with Bilateral salpingo oophorectomyTotal Laparoscopic hysterectomy with previous LSCSTotal Laparoscopic Hysterectomy in endometriosisTotal Laparoscopic Hysterectomy in 20 weeks Multiple Fibroid uterusTotal Laparoscopic Hysterectomy in 32 weeks fibroid uterusSupracervical Hysterectomy with sacrocervicopexyRadical HysterectomyTotal laparoscopic hysterectomy - SILS ComplicationsUterine artery injury and repairUreteric injury and repairBladder injury and repairBowel adhesions