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Manual of New Hysterectomy Techniques
Liselotte Mettler
1:
History and Future of Hysterectomy
INTRODUCTION
CHARLES CLAY AND THE FIRST ABDOMINAL HYSTERECTOMY IN THE WORLD
ELLIS BURNHAM PERFORMS THE WORLD'S FIRST SUCCESSFUL ABDOMINAL HYSTERECTOMY
THE INTRODUCTION OF ANAESTHESIA
THOMAS KEITH AND THE DAWN OF THE NEW ERA
CHARLES CLAY AND THE FIRST SUCCESSFUL HYSTERECTOMY IN EUROPE
EARLY VAGINAL HYSTERECTOMIES
THE FIRST ELECTIVE VAGINAL HYSTERECTOMIES
CONRAD LANGENBECK, SURGEON-GENERAL TO THE HANNOVERIAN ARMY
FURTHER DEVELOPMENTS IN TECHNIQUE AT THE END OF THE NINETEENTH CENTURY
THE DEVELOPMENT OF HYSTERECTOMY IN THE TWENTIETH CENTURY
THE DEVELOPMENT OF LAPAROSCOPIC SURGERY
LAPAROSCOPIC HYSTERECTOMY
THE FUTURE
2:
Vaginal Route: Primary Route for Hysterectomy
INTRODUCTION
ASPECTS THAT COMPEL TO OPT VAGINAL HYSTERECTOMY
COMPLICATIONS
TIME AND COST
STAY
RECOVERY
BLOOD TRANSFUSION
INVASION
MORBIDITY
RANDOMIZED STUDIES
Scar
QUALITY OF LIFE AND SATISFACTION
CONTRAINDICATIONS (CI)
COMMON
UNCOMMON
EXCUSES
There is no Uterine Prolapse/Descent
The Uterus is Large/There is a Fibroid in the Uterus
The Patient is Nulliparous
There is a History of Cesarean Section or Pelvic Surgery in the Past
There may be Adhesions or Endometriosis
The Patient needs Oophorectomy
Inspection of the Abdominal Organs, Particularly the Appendix is Essential
INDICATIONS/ASSOCIATED CONDITIONS
DYSFUNCTIONAL UTERINE BLEEDING (DUB)/ADENOMYOSIS
FIBROIDS
MALIGNANCY
ASSOCIATED OBESITY
WHAT CAN PROMOTE VH AS PRIMARY ROUTE
EXAMINATION UNDER ANAESTHESIA (EUA)
TRIAL VAGINAL HYSTERECTOMY
LAPAROSCOPIC EVALUATION
PREOPERATIVE UTERINE VOLUME
DISCUSSION
3:
Vaginal Approach to Hysterectomy and Treatment of Incontinence
INTRODUCTION
URODYNAMIC TESTING BEFORE HYSTERECTOMY AND POP/SUI INTERVENTIONS
VAGINAL ROUTE AND MINIMALLY INVASIVE SURGERY FOR STRESS URINARY INCONTINENCE WITHOUT CONCOMITANT POP
SELECTION OF THE MOST APPROPRIATE SURGICAL PROCEDURE FOR WOMEN WITH CONCOMITANT POP
HYSTERECTOMY ASSOCIATED TO CONCOMITANT PROCEDURES FOR POP WITH OR WITHOUT SUI
UROLOGICAL COMPLICATIONS OF HYSTERECTOMY
CONCLUDING MESSAGES
4:
The Ten Step Vaginal Hysterectomy: A Method Description
THE TEN STEP VAGINAL HYSTERECTOMY
METHOD DESCRIPTION
INCISION OF THE VAGINAL WALL
In a Patient with a Prolapse
In a Patient without Prolapse
DETACHING THE BLADDER FROM THE UTERUS
OPENING POSTERIOR PERITONEUM
DISSECTION OF THE LOWER PART OF THE UTERUS
CUTTING AND LIGATING THE UTERINE ARTERIES
OPENING THE ANTERIOR PERITONEUM
DISSECTION OF THE UPPER PART OF THE UTERUS (AND APPENDAGES)
THE “NON STAGE”—LEAVING THE PERITONEUM OPEN
RECONSTRUCTION OF THE PELVIC FLOOR
CLOSING THE VAGINAL WALL
DISCUSSION
5:
Total Laparoscopic Hysterectomy: Indications, Techniques and Outcomes
ABSTRACT
INTRODUCTION
INDICATIONS AND CONTRAINDICATIONS
TOTAL LAPAROSCOPIC HYSTERECTOMY TECHNIQUE (TLH)
PREOPERATIVE PREPARATION
INCISIONS
VAGINAL PREPARATION
EXPLORATION
RETROPERITONEAL DISSECTION
URETERAL DISSECTION (OPTIONAL)
BLADDER MOBILIZATION
UPPER UTERINE BLOOD SUPPLY
UTERINE VESSEL LIGATION
DIVISION OF CERVICOVAGINAL ATTACHMENTS AND CIRCUMFERENTIAL CULDOTOMY
MORCELLATION (LAPAROSCOPIC AND VAGINAL)
LAPAROSCOPIC VAGINAL VAULT CLOSURE AND SUSPENSION WITH McCALL CULDEPLASTY27,28
CYSTOSCOPY25,29-31
UNDERWATER EXAMINATION
SKIN CLOSURE
ENDOMETRIOSIS
COMPLICATIONS
INFECTION
HAEMORRHAGE
URETER COMPLICATIONS
BLADDER INJURY
BOWEL INJURY
LONG-TERM COMPLICATIONS
Bowel Obstruction from Adhesions
Pelvic Pain
MISCELLANEOUS
CONCLUSION
6:
Laparoscopic Anterior Exenteration
PELVIC ANTERIOR EXENTERATION
INDICATIONS
ANAESTHESIA
INSTRUMENTATION
PORT POSITION
POSITION OF OPERATING SURGEONS AND MONITOR
ANTERIOR EXENTERATION PROCEDURE
DISSECTION OF THE PARA-RECTAL SPACE
POSTERIOR DISSECTION
CUTTING THE LIGAMENTS
BLADDER DISSECTION AND SPACE OF RETZIUS
LYMPH NODE DISSECTION
ILEAL CONDUIT
URETERO-SIGMOIDOSTOMY
THE SPECIMEN
7:
Robotic Laparoscopic Radical Hysterectomy for Cervical Cancer
INTRODUCTION
ROBOTIC LAPAROSCOPIC RADICAL HYSTERECTOMY SURGICAL TECHNIQUE
COMPLICATIONS
CONTRAINDICATIONS
8:
Extraperitoneal Hysterectomy: Total Pelvic Peritonectomy Combined with the Segmental Resection of the Rectosigmoid
INTRODUCTION
THE EXTRAPERITONEAL HYSTERECTOMY
ADDITIONAL CYTOREDUCTIVE PROCEDURES
9:
Laparoscopic Radical Hysterectomy
INTRODUCTION
LAPAROSCOPIC SURGICAL TECHNIQUES
LAPAROSCOPICALLY PELVIC LYMPHADENECTOMY
LAPAROSCOPICALLY RADICAL HYSTERECTOMY
COMMENTS
RATIONALES IN LAPAROSCOPIC RADICAL SURGERY FOR CERVICAL CANCER
RADICAL HYSTERECTOMY: LAPAROSCOPY VERSUS LAPAROTOMY
Operating Time
Blood Loss
Complications
Numbers of Lymph Nodes Retrieved
The Length of Hospital Stay
Portal-site Metastasis
CONCLUSIONS
10:
The Role of Laparoscopy and Robotics in Hysterectomy
INTRODUCTION
USE OF ROBOTICS
TECHNIQUE OF ROBOTIC-ASSISTED LAPAROSCOPIC HYSTERECTOMY
CONCLUSIONS
11:
Strategies to Prevent Vaginal Vault Descent during Hysterectomy
INTRODUCTION
TECHNIQUE
TE LINDE MODIFIED
THE MODIFIED HIGH McCALL SUTURE
12:
Hysterectomies in a Day Clinic
INTRODUCTION
13:
Bladder Dissection Modalities in Total Laparoscopic Hysterectomy
SURGICAL ANATOMY OF THE BLADDER
APPROACH TO BLADDER
BLADDER DISSECTION TECHNIQUES
UNSCARRED UTERUS
SCARRED UTERUS
MANAGEMENT OF BLADDER INJURIES
PREVENTION
DIAGNOSIS OF UROLOGICAL INJURIES
Intraoperative Recognition
Postoperative Recognition
REPAIR OF BLADDER INJURIES
Intraoperatively Diagnosed Bladder Injuries
Postoperatively Diagnosed Bladder Injuries
14:
Classic Intrafascial Supracervical Hysterectomy [CISH Technique]
INTRODUCTION AND SPECIFICITIES OF THE CISH TECHNIQUE SUING THE ELECTRONIC CURT (CALIBRATED UTERINE RESECTION TOOL)
MATERIALS AND METHODS
FIRST VAGINAL STEP
FIRST LAPAROSCOPIC STEP
SECOND VAGINAL STEP
SECOND LAPAROSCOPIC STEP
The Double Cervical Ligature
Resecting the Uterus
Sterilisation of the Intra-abdominal Cervical Stump
Peritonealisation
Morcellation of the Uterus
Histopathology of CISH Specimens
RESULTS AND DISCUSSION
CONCLUSIONS
SURGICAL BENEFITS
MEDICAL BENEFITS
PSYCHOLOGICAL BENEFITS
15:
CISH Hysterectomy [15 Years Experience in Rural US]
INTRODUCTION
TECHNIQUE
LIMITATION
Carcinoma
Weight Limitation
SURGICAL PROCEDURE
RESULTS
OPERATIVE DATA
COMPLICATIONS
SHORT-TERM (OPERATIVE)
SHORT-TERM (CERVICAL)
LONG-TERM (CERVICAL)
Mucocoele
Long-term Bleeding
Pain Long-term
Leiomyoma and Endometrioma
DISCUSSION
16:
Laparoscopic Supracervical Hysterectomy A Standardised Safe Minimal Invasive Technique [Experience of 3,920 Operations]
ABSTRACT
STUDY OBJECTIVE
DESIGN
SETTING
PATIENTS
INTERVENTION
RESULTS
CONCLUSION
INTRODUCTION
MATERIALS AND METHODS
RESULTS
CONCLUSION
17:
Endometrial Ablation Contrahysterectomy: Who Takes the Decision?
INTRODUCTION
INDICATIONS FOR HYSTERECTOMY
ENDOMETRIAL ABLATION TECHNIQUES
NOVASURE TECHNOLOGY
SAFETY FEATURES
RESULTS
FAILURES
COMPLICATIONS
ENDOMETRIAL ABLATION CONTRA-HYSTERECTOMY
DECISION
18:
Hysterectomy for Large Uteri
INTRODUCTION
SET-UP AND OPERATION
MORCELLATION
BISECTION
CORING
MYOMECTOMY
WEDGE MORCELLATION
HIGH EPIGASTRIC PORT PLACEMENT
HAND-ASSISTED LAPAROSCOPY
SUPRACERVICAL HYSTERECTOMY
CONCLUSION
19:
Port Creation during Laparoscopic Hysterectomy
INTRODUCTION
PORT CHARACTERISTICS
LAPAROSCOPIC PORT SYSTEMS
ACCESS INSTRUMENTS
VISUAL ENTRY SYSTEMS
CONSIDERATIONS DURING VISUAL PORT PLACEMENT
PRE-INSUFFLATION FOR VISUAL ENTRY
APPLICATIONS OF VISUAL ENTRY SYSTEMS
VISUAL TROCARS
Endopath® Optiview Visual Trocar
Visiport® Visual Trocar
VISUAL VERRES' MINI-LAPAROSCOPY
VISUAL CANNULA ENDOTIP™
PRIMARY ENTRY WITH ENDOTIP™
ANCILLARY PORT ENTRY WITH ENDOTIP™
ALTERNATE ENTRY SITES
PORT REMOVAL
CONCLUSION
20:
Laparoscopic Hysterectomy: Historical Perspective
BACKGROUND
FIRST LAPAROSCOPIC HYSTERECTOMY AND DEVELOPMENT OF TOTAL LAPAROSCOPIC HYSTERECTOMY (TLH) CONCEPT
CONCLUSION
INDEX
TOC
Index
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