Live Total Laparoscopic Hysterectomy Surgery performed by Dr R K Mishra.

Feb 17, 2017 11:28 pm     Event Hits:2041     A⁺ | a^-

Event Date: Fri - 17 Feb, 2017

Event Time: 9:00 am

Location: World Laparoscopy Hospital

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Institute: WLH

The round ligaments on both sides are identified, grasped, and divided with bipolar or monopolar cautery. This allows for subsequent development of the retroperitoneal space, both cephalad toward the iliac vessels and into the lateral avascular space.  The ureter courses a mere 1 cm lateral to the cervix at the level of the uterine arteries and is the most common location of laparoscopic ureteral injury.  Entry and development of the bladder flap peritoneum allows for anterior mobilization of the bladder early in the procedure.  A window is developed in the medial leaf of the broad ligament and the infundibulopelvic ligaments are sealed with suture, bipolar electrocautery, or surgical clips. If the ovaries are to be preserved, the utero-ovarian ligament may be sealed and ligated in a similar fashion. From the posterior aspect of the developed peritoneal edge, the incision is made across the posterior aspect of the upper vagina, as identified by the ring located on most uterine manipulators. Development of either the anterior or posterior colpotomy with monopolar or bipolar cautery releases the ureter inferiorly as it maintains its attachment to the peritoneum. Once the anterior and posterior colpotomies are opened, the uterine vessels are skeletonized, sealed, and divided with a sealing device or vessel clips. The remainder of the colpotomy is completed using monopolar or bipolar cautery. After specimen removal, attention is turned to the closure of the vaginal cuff. Several methods and materials are available for intra-abdominal cuff closure. Interrupted or continuous sutures may be tied intra-corporeally with a needle driver and grasper or extra-corporeally with a knot pusher. 

The round ligaments on both sides are identified, grasped, and divided with bipolar or monopolar cautery. This allows for subsequent development of the retroperitoneal space, both cephalad toward the iliac vessels and into the lateral avascular space.  The ureter courses a mere 1 cm lateral to the cervix at the level of the uterine arteries and is the most common location of laparoscopic ureteral injury.  Entry and development of the bladder flap peritoneum allows for anterior mobilization of the bladder early in the procedure.  A window is developed in the medial leaf of the broad ligament and the infundibulopelvic ligaments are sealed with suture, bipolar electrocautery, or surgical clips. If the ovaries are to be preserved, the utero-ovarian ligament may be sealed and ligated in a similar fashion. From the posterior aspect of the developed peritoneal edge, the incision is made across the posterior aspect of the upper vagina, as identified by the ring located on most uterine manipulators. Development of either the anterior or posterior colpotomy with monopolar or bipolar cautery releases the ureter inferiorly as it maintains its attachment to the peritoneum. Once the anterior and posterior colpotomies are opened, the uterine vessels are skeletonized, sealed, and divided with a sealing device or vessel clips. The remainder of the colpotomy is completed using monopolar or bipolar cautery. After specimen removal, attention is turned to the closure of the vaginal cuff. Several methods and materials are available for intra-abdominal cuff closure. Interrupted or continuous sutures may be tied intra-corporeally with a needle driver and grasper or extra-corporeally with a knot pusher.

World Laparoscopy Hospital: A Hub of Contemporary Learning with Daily 8-Hour Hands-On Laparoscopic Training

In the realm of medical education and training, there are institutions that stand out as pioneers, constantly pushing the boundaries of what is possible. One such institution is the World Laparoscopy Hospital, where a contemporary event unfolds every day, featuring a remarkable 8-hour hands-on laparoscopic training program.

A Daily Revolution in Learning

At the heart of the World Laparoscopy Hospital's mission is the commitment to train the next generation of surgeons and medical professionals in the art and science of Minimal Access Surgery. What makes this institution truly exceptional is its daily 8-hour hands-on laparoscopic training program.

The Laparoscopic Revolution

Laparoscopic surgery, often referred to as minimally invasive surgery, has revolutionized the field of surgery in recent decades. Instead of large incisions, this technique involves making tiny keyhole-like openings through which a camera and surgical instruments are inserted. This results in significantly reduced patient trauma, shorter recovery times, and less post-operative pain.

The Daily Experience at World Laparoscopy Hospital

Every day at World Laparoscopy Hospital is a contemporary event in the world of medical education. Here's a glimpse into what a typical day looks like for those fortunate enough to train at this prestigious institution:

1. Intensive Training: The 8-hour hands-on laparoscopic training is an immersive experience where trainees work side by side with experienced surgeons. This hands-on approach ensures that students gain practical skills and confidence in performing laparoscopic procedures.

2. State-of-the-Art Facilities: The hospital boasts state-of-the-art facilities, equipped with the latest laparoscopic instruments and technology. Trainees have access to the same tools and equipment used in modern surgical practices around the world.

3. Expert Faculty: The training is conducted under the guidance of expert faculty members who are pioneers in the field of Minimal Access Surgery. Their wealth of knowledge and experience provides students with invaluable insights and mentorship.

4. Customized Curriculum: The training program is tailored to the specific needs and experience levels of each student. Whether you are a novice or an experienced surgeon looking to refine your skills, there is a program to suit your requirements.

5. Global Reach: World Laparoscopy Hospital attracts medical professionals from all corners of the world. This diverse group of trainees fosters cross-cultural exchanges and collaborations, enriching the learning experience.

6. Research Opportunities: Beyond the hands-on training, the hospital also serves as a hub for research and innovation in the field of Minimal Access Surgery. Trainees have the opportunity to participate in cutting-edge research projects.

Impact Beyond the Classroom

The impact of the daily 8-hour hands-on laparoscopic training at World Laparoscopy Hospital extends far beyond the classroom. Graduates of this program return to their respective countries armed with advanced skills, contributing to the global dissemination of minimally invasive surgical techniques. Patients around the world benefit from the reduced invasiveness, faster recoveries, and improved outcomes that these skilled professionals bring to their practice.

In conclusion, World Laparoscopy Hospital's commitment to daily 8-hour hands-on laparoscopic training is a testament to its dedication to excellence in medical education. By offering a world-class learning environment and fostering a culture of innovation, this institution is shaping the future of surgery, one trainee at a time. It is not just an institution; it is a beacon of hope for patients and a driving force in advancing the field of surgery.