Video of total laparoscopic hysterectomy
Apr 10, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Total laparoscopic hysterectomy refers to the procedure in which, under laparoscopic guidance, the ligaments, blood vessels, and vaginal walls surrounding the uterus are severed, the uterus is removed and extracted through the vagina, and then the vaginal stump is sutured again laparoscopically. The surgery should be performed at a qualified medical institution. After surgery, patients should engage in appropriate physical activity according to their individual recovery status to prevent intestinal adhesions, and undergo regular ultrasound examinations as instructed by their physician.
Laparoscopic total hysterectomy refers to the procedure in which, under laparoscopic guidance, the ligaments, blood vessels, and vaginal wall surrounding the uterus are severed, the uterus is removed through the vagina, and then the vaginal stump is sutured again laparoscopically. The surgery must be performed at a formal medical institution. The specific procedural steps are as follows:
1. The patient is placed in the lithotomy position. After routine disinfection by the surgeon, sterile surgical drapes are applied, followed by general anesthesia.
2. Once anesthesia takes effect, the surgeon, wearing sterile gloves, makes approximately one-centimeter incisions in the abdomen at the umbilicus and in the lower left, lower right, and upper left quadrants. A Veress needle is inserted into the abdominal cavity, through which carbon dioxide gas is introduced to establish a pneumoperitoneum.
3. The laparoscope and surgical instruments are introduced into the abdominal cavity to examine the pelvic structures. The size, location, presence of adhesions, and relationship with surrounding organs of the uterus, adnexa, and any lesions or tumors are carefully evaluated.
4. Using the abdominal incisions, the uterus is exposed and lifted. Then, using an ultrasonic scalpel, the round ligaments, broad ligaments, uterine arteries and veins, cardinal ligaments, and sacrouterine ligaments are sequentially dissected and divided.
5. With a uterine manipulator inserted into the vagina, the uterus is circumferentially excised. The removed uterus is extracted through the vagina, and finally, the vaginal cuff is sutured under laparoscopic visualization.
6. All instruments are withdrawn, and all abdominal incisions are sutured. Hemostasis is achieved, pressure dressing is applied, and the procedure is completed.
After surgery, patients should engage in appropriate physical activity according to their recovery status to prevent intestinal adhesions. Additionally, regular follow-up ultrasounds should be performed as directed by the physician to monitor recovery progress and promote overall healing.
