Alumi Laparoscopic Discussion Board

Port position for TLH in a patient with of 38 weak Uterus?
Discussion in 'All Categories' started by Dr. Mythry Murthy - Aug 13th, 2019 2:59 pm.
Dr. Mythry Murthy
Dr. Mythry Murthy
Dear sir, I want to where I should exactly put my port for a patient with a 38-week size of the uterus. Please explain as I have to perform a TLH next week for this patient.

With regard

Dr. Mythry Murthy
Kerela
re: Port position for TLH in a patient with of 38 weak Uterus? by Dr. Nidhi - Aug 14th, 2019 12:02 pm
#1
Dr. Nidhi
Dr. Nidhi
Dear Dr. Mythry Murthy

Ideally, you should enter in the abdomen with palmer's point and after that, you should introduce one epigastric port. After introducing epigastric port transfer telescope from palmers to epigastric port. two other lumber port is used for upper pedicle and two iliac fossa port can be used either side for uterine artery and vault closure. So all together 6 port is required to perform total laparoscopic hysterectomy in the large uterus.

You can see the video of Dr. R.K. Mishra for large uterus by going to the link below:
https://www.youtube.com/watch? v=0Rre_fzvVi4

With regard
Nidhi Mishra
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