Total Laparoscopic Hysterectomy in Severe Endometriosis
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Info About This Video
| Name |
Total Laparoscopic Hysterectomy in Severe Endometriosis |
| Video Uploader |
Video From Olympus Corporation |
| Upload Date |
This Video Uploaded At 18-06-2025 08:18:11 |
| Video Discription |
Mr. James Tibbott is a Consultant Gynecologist with Leeds Teaching Hospital, Leeds, UK. His areas of interest are pelvic and extra-pelvic endometriosis and chronic pelvic pain.
During this episode, Mr. Tibbott will perform a Total Laparoscopic Hysterectomy in Severe Endometriosis. The patient presents with a complex case of severe endometriosis involving pelvic adhesions and recto-sigmoid adherence. Mr. Tibbott will explain each surgical step and respond to questions in a live chat format throughout the episode.
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๐ฉบ Product used:
Imaging Platform: VISERA ELITE III
POWERSEAK
ENDOEYE
CH-S700
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๐ Highlights:
0:00 Introduction โ Mr. James Tibbott and Case Presentation
1:09 Q&A
7:50 Procedure: Laparoscopic Hysterectomy in Severe Endometriosis
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๐ฅ Surgical Procedure โ Steps
a. Diagnostic Laparoscopy
Assessment of the extent of disease, adhesions, and organ involvement.
b. Adhesiolysis
Systematic and careful dissection of pelvic adhesions using sharp and energy-based techniques.
c. Ureterolysis
Mobilization of ureters where necessary to prevent injury and ensure anatomical clarity.
d. Bladder Dissection
Separation of the bladder from the uterus and cervix, particularly in fibrotic or infiltrated planes.
e. Rectovaginal Space Dissection
Mobilization of the rectum from the posterior cervix and vagina. Excision of nodules if present.
f. Ligation of Uterine Vessels
Skeletonization and sealing at the uterine isthmus with ureter identification.
g. Colpotomy
Circumferential incision at the vaginal cuff using energy devices.
h. Specimen Removal
Transvaginal extraction or morcellation (if no malignancy suspected), with endobag to prevent spillage.
i. Vaginal Cuff Closure
Performed laparoscopically or transvaginally using delayed absorbable sutures.
j. Final Inspection
Hemostasis check and assessment for possible ureteral or bowel injury.
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| Category |
Education |
| Tags |
AISChannel | Endometriosis | GYNsurgery | HealthcareProfessionals | Hysterectomy | Laparoscopy | OlympusSurgical | Powerseal | SurgicalEducation | SurgicalInnovation | SurgicalTraining | VEIII |
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