Submucous and intracavitary myomas can often be removed through the cervix using an instrument called a resectoscope. The resectoscope is a special type of hysteroscope with a built in wire loop that uses high-frequency electrical energy to cut or coagulate tissue. It was developed for surgery of the bladder and the male prostate over fifty years ago to allow surgery inside an organ without having to make an incision, and has made hysteroscopic myomectomy possible.
Laparoscopy and Hysteroscopy
In Part 3, the speakers address the question: Is there a place for robot-assisted laparoscopy? They also discuss the benefits that should not be ignored and what role robot-assisted laparoscopy might play in clinical practice in the future.
In Part 2, the authors discuss how robotic laparoscopic hysterectomy compares with traditional laparoscopic hysterectomy. They also explore the clinical implications of one treatment versus the other.
Performing surgeries laparoscopically offers patients faster recovery, decreased blood loss and transfusion rates, and less postoperative pain, but laparoscopic procedures in gynecologic oncology can be very challenging and requires significant technical expertise and experience. It is believed that the integration of robotics into these surgeries might offer a significant advantage in the learning curve, thus allowing more surgeons to offer this procedure to their patients. . . but is this an effective and safe alternative?
That’s what one team of researchers sought to determine as they explored its use in the case of laparoscopic hysterectomy.
In the following Total Laparoscopic Hysterectomy, Dr. Howard Hall, Morganton, N.C. is utilizing the PKS Cutting Forceps for transection of the large infundibular pelvic ligaments along with dissection, grasping, and coagulation during the procedure.
In the following Total Laparoscopic Hysterectomy, Dr. Charles Koh of the Milwaukee Institute of Minimally Invasive Surgery shares pointers on how to perform the operation more safely and more predictably.
Dr. Francois Blaudeau demonstrates an access and port placement technique in a Laparo-Endoscopic Single Site Surgery (LESS) LSH using the TriPort and the EndoEYE camera.
In the following narrated Laparoscopic Supracervical Hysterectomy video, Dr. Donald Debrakeleer demonstrates his technique, his preferred patient prep method and his port placement.