Total Laparoscopic Hysterectomy Using the Harmonic Scalpel
نویسندگان
چکیده
Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. We previously found use of the harmonic scalpel to be extremely helpful in performing laparoscopically assisted vaginal hysterectomies. In this series, the harmonic scalpel was used to facilitate performing TLH. Our experience has shown this can be performed without major complications in a cost-effective manner.
منابع مشابه
A Comparative Study of Use of Different Electrosurgical Techniques for Opening The Vaginal Cuff In Total Laparoscopic Hysterectomy: Monopolar Cutting, Coagulating And Harmonic Scalpel
and keywords: monopolar cutting current,coagulating current, harmonic scalpel.
متن کاملComparison of Cervical Detachment Using Monopolar Lap Loop Ligature and Conventional Methods in Laparoscopic Supracervical Hysterectomy
OBJECTIVES Our aim was to evaluate a new electrosurgical instrument (Lap Loop device) that amputates the uterine corpus from the cervix during a laparoscopic supracervical hysterectomy (LSH) and to compare the time required for cervical amputation with traditional methods. METHODS This comparative trial was conducted at the University of Louisville and Norton Healthcare Hospitals, Louisville,...
متن کاملTotal Laparoscopic Hysterectomy with Prior Uterine Artery Ligation at Its Origin
We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual pedicle. Using a prospective study in a gynecologic laparoscopic center, a total of 52 women who underwent TLH from June 2013 to January 2014 were assigned int...
متن کاملHarmonic Scalpel versus Monopolar Electrocauterization in Cholecystectomy
BACKGROUND AND OBJECTIVES Laparoscopic cholecystectomy (LC) using surgical electrocautery is considered to be the gold standard procedure for the treatment of uncomplicated cholecystitis and cholelithiasis. The objective of the current study was to evaluate the effectiveness and safety of the Harmonic scalpel, an advanced laparoscopic technique associated with less thermal damage in LC, when co...
متن کاملLaparoscopic Radical Hysterectomy and Bilateral Pelvic Lymphadenectomy using the Harmonic Scalpel
June 29, 2011 The patient was a 30 year old female patient, para 0, who was diagnosed to have a cervical adenocarcinoma on a screening PAP smear. A subsequent endocervical curettage revealed a moderately differentiated adenocarcinoma with focal invasion. She underwent a cone biopsy and a repeated endocervical curettage which revealed an adenocarcinoma in situ with two foci of microinvasion cons...
متن کامل