Textbook & Atlas of Laparoscopic Hysterectomy

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

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

1. Total Abdominal Hysterectomy
2. Vaginal Hysterectomy: The Signature of a Gynecologist
3. Laparoscopic Hysterectomy: The Game Changer
4. Choosing the Route of Hysterectomy

Section 3: The Procedure

1. Ports and Positioning
2. The Upper Pedicle
3. Bladder Dissection in TLH
4. Uterine Artery and Total Laparoscopic Hysterectomy
5. Cardinal Uterosacral Ligament Complex, Opening of the Vaginal Vault and Specimen Retrieval
6. Suturing of Vault in Total Laparoscopic Hysterectomy

Section 4: Special Considerations

1. Laparoscopic Uterine Artery Occlusion in Hysterecomy—Practical Tips and Tricks
2. TLH in a Large Uterus and Multiple Surgeries—Difficulties and Modifications
3. Total Laparoscopic Hysterectomy in Severe Endometriosis
4. Laparoscopic Radical Hysterectomy
5. Concomitant Stress Urinary Incontinence Surgery with Laparoscopic Hysterectomy
6. LESS Hysterectomy
7. Robot Assisted Laparoscopic Hysterectomy
8. Day Care Total Laparoscopic Hysterectomy

Section 5: Complications of TLH

1. General Complications of Laparoscopic Surgeries
2. Bladder Injuries in Total Laparoscopic Hysterectomy
3. Ureteric Injuries in Total Laparoscopic Hysterectomy
4. Bowel Related Complications of Operative Gynecological Laparoscopy
5. Vault Complications Following Total Laparoscopic Hysterectomy
6. Post Hysterectomy Vault Prolapse and Management
7. Conversion of TLH

Section 6: Food for Thought

1. Vaginal Hysterectomy in Era of TLH: The View from the Vaginal End
2. Are All Hysterectomies Indicated?
3. Alternatives to Hysterecomy in DUB

Section 7: Our Experience

1. 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

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