Textbook and 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


Author information

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

Table of Contents
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
8. Total Abdominal Hysterectomy
9. Vaginal Hysterectomy: The Signature of a Gynecologist
10. Laparoscopic Hysterectomy: The Game Changer
11. Choosing the Route of Hysterectomy
Section 3: The Procedure
12. Ports and Positioning
13. The Upper Pedicle
14. Bladder Dissection in TLH
15. Uterine Artery and Total Laparoscopic Hysterectomy
16. Cardinal Uterosacral Ligament Complex, Opening of the Vaginal Vault and Specimen Retrieval
17. Suturing of Vault in Total Laparoscopic Hysterectomy
Section 4: Special Considerations
18. Laparoscopic Uterine Artery Occlusion in Hysterecomy—Practical Tips and Tricks
19. TLH in a Large Uterus and Multiple Surgeries—Difficulties and Modifications
20. Total Laparoscopic Hysterectomy in Severe Endometriosis
21. Laparoscopic Radical Hysterectomy
22. Concomitant Stress Urinary Incontinence Surgery with Laparoscopic Hysterectomy
23. LESS Hysterectomy
24. Robot Assisted Laparoscopic Hysterectomy
25. Day Care Total Laparoscopic Hysterectomy
Section 5: Complications of TLH
26. General Complications of Laparoscopic Surgeries
27. Bladder Injuries in Total Laparoscopic Hysterectomy
28. Ureteric Injuries in Total Laparoscopic Hysterectomy
29. Bowel Related Complications of Operative Gynecological Laparoscopy
30. Vault Complications Following Total Laparoscopic Hysterectomy
31. Post Hysterectomy Vault Prolapse and Management
32. Conversion of TLH
Section 6: Food for Thought
33. Vaginal Hysterectomy in Era of TLH: The View from the Vaginal End
34. Are All Hysterectomies Indicated?
35. Alternatives to Hysterecomy in DUB
Section 7: Our Experience
36. Laparoscopic Hysterectomy (TLH) - Practical Tips
Index
DVD Content
 Total Laparoscopic Hysterectomy Steps
o Upper pedicles
o Bladder dissection with scissors
o Bladder dissection with harmonic
o Uterine arteries cauterisation with bipolar
o Uterine arteries cauterisation with enseal
o Opening of vault with harmonic.
o Opening of vault with monopolar
o Vault Closure
 Total Laparoscopic Hysterectomy Videos
o Simple Total Laparoscopic Hysterectomy
o Simple Total Laparoscopic Hysterectomy with Bilateral salpingo oophorectomy
o Total Laparoscopic hysterectomy with previous LSCS
o Total Laparoscopic Hysterectomy in endometriosis
o Total Laparoscopic Hysterectomy in 20 weeks Multiple Fibroid uterus
o Total Laparoscopic Hysterectomy in 32 weeks fibroid uterus
o Supracervical Hysterectomy with sacrocervicopexy
o Radical Hysterectomy
o Total laparoscopic hysterectomy - SILS
 Complications
o Uterine artery injury and repair
o Ureteric injury and repair
o Bladder injury and repair
o Bowel adhesions