By Togas Tulandi

This fantastically illustrated booklet presents a pragmatic step by step consultant to the entire laparoscopic and hysteroscopic methods played through gynecologists. each one technique is defined intimately and entirely illustrated with colour images. the capability problems are defined, and the situations within which a process is contraindicated are tested. The 3rd version of the "Manual of Laparoscopic and Hysteroscopic innovations" has been accelerated and widely up to date with new chapters together with: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic belly cerclage, and hysteroscopy sterilization.
"Manual of Laparoscopic and Hysteroscopic ideas" is a useful source for busy training gynecologists who are looking to study step by step concepts of a surgery.

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Extra info for Atlas of Laparoscopy and Hysteroscopy Techniques, Third Edition

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If the adnexa is removed intact, the surgeon and the pathologist should examine the inner cyst wall immediately after removal. placing an atraumatic forceps on the utero-ovarian ligament. 1). 2). 4). A 5 mm trocar is used because, or comparison with to the use of cutting instruments, the puncture is almost watertight, and drainage is faster. Because minimal spillage still occurs, a large endopouch should be placed in the pelvis, and the ovary punctured inside the pouch. 4). Laparoscopic puncture Care should be taken to minimize spillage when puncturing a cyst.

Other factors associated with ovarian remnants are the use of endoscopic loops for laparoscopic oophorectomy, multiple operative procedures with incomplete removal of pelvic organs, densely adherent ovaries, and multiple ovarian cystectomies for functional cysts. When pretied sutures or stapling devices are used for the infundibulopelvic ligament, they should be placed well below the ovarian tissue. 1). It is not unusual for these patients to have undergone previous attempts to excise the tissue.

The robot is positioned between the patient’s legs, and the robotic arms are connected to the respective ports. 1 Standard port placement for robotic tubal reanastomosis. The camera port (12 mm) is placed at the umbilicus. The da Vinci ports (8 mm) are placed in the midclavicular line, 1–2 cm below the level of the umbilicus, and lateral to the rectus muscle. Finally, an accessory port (10 mm) is positioned on the left side of patient, between the camera and the da Vinci port. (b) PROCEDURE 1. Once the setup is completed, a robotic microforcep instrument and robotic microscissors are placed in both axillary ports.

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