Laparoscopic Total and Supracervical Hysterectomy
Although described as a medical procedure since the second century, the concept of removing the uterus, or hysterectomy, for medical indications has undergone a profound journey from a shunned operation with almost 100 % mortality to one of the most common, nonobstetric operations performed today. Advances in instrumentation and minimally invasive techniques, described in this chapter, have made this a virtually outpatient procedure, with many indications and minimal complication rates. This chapter describes step-by-step techniques to achieve a minimally invasive approach to hysterectomy as well as indications and caveats to minimize medical mishaps. Mastery of the technique is transferable to other minimally invasive pelvic procedures.
KeywordsHarmonic Scalpel Total Laparoscopic Hysterectomy Lower Uterine Segment Uterine Manipulator Bipolar Cautery
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