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Laparoscopic Hysterectomy: Tips and Tricks
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Order can vary !!
Bipolar Cautery Laproscopic Suturing
Gyrus (PK) Sealer
Ligasure Harmonic Scalpel Enseal
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Rumi KOH Colpotomizer Colpoprobe
Kronner Zumi Sponge stick
Ureter
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Suture Left Uterine Vessels
Gyrus of Right Uterine Vessels
L-Hook Scissors Needle cautery
Gyrus Ligasure Harmonic Scalpel Laser
Monopolar
Other Options
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1. Proper patient selection is key. 2. A laparoscopic approach follows the same
principles as at laparotomy. 3. Medial traction on the IP will reduce the risk of
ureteric injury at the pelvi sidewall. 4. Axial force from below is critical for bladder
dissection and to avoid ureteric injury. 5. Avoid complete hemostasis and dessication of
the vaginal cuff. 6. Consider doing a cystoscopy with every TLH.
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