By Togas Tulandi
This fantastically illustrated publication offers a pragmatic step by step advisor to the entire laparoscopic and hysteroscopic techniques played by way of gynecologists. every one approach is defined intimately and completely illustrated with colour photos. the capability problems are defined, and the situations during which a process is contraindicated are tested. The 3rd version of the "Manual of Laparoscopic and Hysteroscopic strategies" has been improved and widely up to date with new chapters together with: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic stomach cerclage, and hysteroscopy sterilization.
"Manual of Laparoscopic and Hysteroscopic strategies" is a useful source for busy working towards gynecologists who are looking to examine step by step concepts of a surgery.
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Additional resources for Atlas of Laparoscopy and Hysteroscopy Techniques, Third Edition
Individually or one continuous suture can be used and the sutures cut after tying. 12. 5). 13. Patency is determined by chromopertubation. 14. All ports Ն 8 mm should be closed. 5 The serosal layer can be closed either in a running continuous fashion or using individual sutures. ) 2. 6. 10. 3. FIMBRIOPLASTY 5. Procedure 1. The set-up and preliminary procedure are similar to those for tubal anastomosis. 4. 6. The distal tube is grasped with an atraumatic forceps. Lysis of the fimbrial adhesions is performed with fine scissors.
The occluded segment is opened with laparoscopic endoshears placed in the axillary port. 5 cm distally, and then creating a lumen. ) 7. Proximally, chromopertubation is used to demonstrate patency of the proximal tubal segment. 8. The mesosalpinx is approximated with interrupted 6-0 delayed absorbable (polyglactin) sutures, bringing the tubal segments in close proximity to prevent tension on the anastomosis. 9. 4). The first suture is placed at 6 o’clock and tied. 10. The second suture is placed at 9 o’clock.
4. 6. The distal tube is grasped with an atraumatic forceps. Lysis of the fimbrial adhesions is performed with fine scissors. The laparoscope should be brought close to the fimbriae, and, with magnification, the fine adhesions that agglutinate the fimbriae are grasped and lysed. If there is denser fimbrial phimosis, 6-0 polyglactin can be used to evert the edges. If an antiadhesion barrier such as Interceed is used, care should be used not to enclose the tube and ovary together. 6 Fallopian tubes 1 year after robotically assisted anastomosis.