The role of laparoscopy total hysterectomy in performing a salpingo oophorectomy with hysterectomy has dramatically expanded in recent years but has come under increasing scrutiny regarding its benefits in certain clinical settings and its overall cost-effectiveness. A TLH is substitute for laparoscopic-assisted vaginal hysterectomy (LAVH) and substitute for a vaginal hysterectomy. As a surgeon develops expertise and experience with laparoscopic technique, the number of patients for whom he or she offers a laparoscopic approach increases. Other patients will have pathology or coexisting abnormalities that require an abdominal incision. The laparoscope therefore substitute the vaginal hysterectomy and avoids an abdominal incision when suspected or uncertain adnexal pathology or adhesive disease might otherwise preclude a strictly vaginal approach. The visualization provided allows for dissection and removal of the adnexa and the release of any adhesive disease. If no pathology exists that requires operative laparoscopy, then a simple vaginal hysterectomy is performed.
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1) can we directly cook uterine art with ligasure what things to keep in mind while doing so
2) today some open surgical instruments of ligasure and harmonic also available how we can make cervical vaginally junction prominent without colpotomizer
3) is sonicscion of covidien is good to use
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Is it safe to use only bipolar and scissor eventually after ligature of the uterine artery if I don't have harmonic or ligature yet in my theatre
However, it is bit difficult to justify the cost two energy sources, Ligasure, and Hormonic Scalpel - if this can be done nearly as effectively with a bipolar.
And, we almost never remove healthy looking ovaries in current practice.
This patient is only 41 years.