Tips & Tricks: Difficult Total Laparoscopic Hysterectomy

by Alan Freeman

This Video Atlas demonstrates challenging total laparoscopic hysterectomy surgical techniques in patients with risk factors. There are 43 narrated video clips and over 250 tips and tricks. This surgical video atlas is accompanied by an USB card of videos demonstrating the surgical techniques. Each chapter has a review of the literature, pre-operative planning and intra- operative considerations. Chapters General review of difficult laparoscopic hysterectomies Challenges in obese and extremely obese patients Challenges in patients with extremely large uteri, cervical fibroid(s) and broad ligament fibroid(s) Laparoscopic trachelectomy Challenges in patients with a history of cesarean section(s), adhesions, and previous surgery Challenges in patients with severe endometriosis and frozen pelvis Conversion to laparotomy, vaginal hysterectomy, and so on. Narrated video clips demonstrate total laparoscopic hysterectomies in patients Extreme obesity, extremely large uteri, cervical fibroids, broad ligament fibroids, previous cesarean section(s), adhesions, previous surgery, severe endometriosis, and frozen pelvis Other video clips Laparoscopic trachelectomy Lysis of anterior abdominal wall and intra-pelvic adhesions How to perform ureteric dissections (medial, lateral approach) How to perform an occlusion of the uterine artery at the origin (medial, lateral, and anterior approach) How to dissect the retroperitoneum and pelvic spaces How to insert and use infrared or non-lighted ureteric catheters How to perform cystoscopy and prevent bladder injury

334 pages, Hardcover

Published January 1, 2018