Total Laparoscopic Hysterectomy by Two 5 mm Ports - Single Instrument Surgery
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This video demonstrates Total Laparoscopic Hysterectomy by Two Ports. Only Two 5mm ports were used in this surgery. One telescopic port and only one working instrument are used. This is the first single-handed Total laparoscopic hysterectomy done by anyone before. Many surgeons are performing SILS hysterectomy. In single incision laparoscopic surgery one large 20mm-30mm port is used and in a single port three instruments are introduced. In this two-part surgery, only one operating instrument is used. Single-incision laparoscopic surgery is an alternative to conventional multiport laparoscopy. Vaginal and laparoscopic hysterectomies have been clearly associated with decreased blood loss, shorter hospital stay, speedier return to normal activities, and fewer abdominal wall infections when compared with abdominal hysterectomies. In this review, the authors outline the 10 steps to a successful laparoscopic hysterectomy.
Single-access laparoscopy using a transumbilical 20 mm port does not give cosmetic benefits because the surgical incision is large in the umbilicus and increases hernia infection and morbidity of minimally invasive surgery. With two 5 mm ports, there is no chance of hernia excellent cosmetic benefits and minimum pain is observed. The patient is discharged only a few hours after surgery. This is a single-handed surgery so surgeons need good suturing skills.
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3 COMMENTS
Dr. Hema Vidhuri
#1
Sep 16th, 2022 9:54 am
I saw this video demonstration I liked it. It has been told through this video that How is a total laparoscopic hysterectomy performed by two 5 mm ports by the method of single instrument surgery? Thanks for the nice demonstration.
Dr. Pallavi Unnikrishnan
#2
Oct 3rd, 2022 8:04 am
Single-port laparoscopic surgery is an emerging technique and an option for improving the benefits of laparoscopic surgery. The goals of single-port laparoscopic surgery is to further enhance the cosmetic benefits of minimally invasive surgery and minimize the potential risk and morbidity associated with multiport surgery
Dr. Sarita Ahlawat
#3
Oct 15th, 2022 9:10 am
Hysterectomy is the most common major gynecologic surgery performed worldwide. Hysterectomy can be performed abdominally, vaginally or laparoscopically. Laparoscopic approaches include total laparoscopic hysterectomy (TLH), laparoscopic-assisted vaginal hysterectomy, and robotic-assisted laparoscopic hysterectomy. Single Instrument surgery is an attempt at improving cosmetic outcome, faster recovery and decrease postoperative pain and hospital stay. Furthermore, reduction in the number of ports would also mean reduction in the port-associated complications like hernia, vascular and soft tissue and nerve injuries during trocar insertion.
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