Vaginal hysterectomy has been shown to have the lowest complication rate, better cosmesis, and decreased cost compared with alternate routes of hysterectomy. However, there are times when a vaginal hysterectomy is not feasible and an open abdominal hysterectomy should be avoided. Minimally invasive surgery has evolved over the last several decades; with the improvement in optics and surgical instruments, laparoscopic hysterectomy is becoming increasingly common. A total laparoscopic hysterectomy is possible with proper training, including sound technique in laparoscopic suturing for closure of the vaginal cuff.
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http://dx.doi.org/10.1016/j.ogc.2016.04.005 | DOI Listing |
Photodiagnosis Photodyn Ther
March 2025
Department of Cardiovascular Control, Kochi Medical School, Nankoku 783-8505, Japan. Electronic address:
Introduction: In total laparoscopic hysterectomy, a uterine manipulator with transillumination functionality is often employed as an instrument to visualize the vaginal canal demarcation line. However, the utilization of this device necessitates an external white light source and a fiber optic cable. In this study, we developed a prototype vaginal manipulator (PHARUS Pipe) with a simpler configuration to visualize the vaginal canal separation line.
View Article and Find Full Text PDFInt Urogynecol J
March 2025
Department of Obstetrics and Gynecology, Faculty of Medicine in Plzen, Charles University, Plzen, Czech Republic.
Introduction And Hypothesis: Rectocervical fistula after a urogynecological surgery has never been described. In this video article, we present occurrence of this complication after laparoscopic supracervical hysterectomy and laparoscopic sacrocervicopexy (LSCH + LSC) and how it was treated.
Methods: This was a case of a 47-year-old patient who had a laparoscopic supracervical hysterectomy and laparoscopic sacrocervicopexy (LSCH + LSC) for stage two pelvic organ prolapse.
N. Yang and F. Zhou, "Comparison of the Effects of Laparoscopic and Open Hysterectomy on Surgical Site Wound Infections in Patients With Endometrial Cancer: A Meta-Analysis," International Wound Journal 21, no.
View Article and Find Full Text PDFFront Surg
February 2025
Department of Gynecology and Obstetrics, Sion Hospital, Sion, Switzerland.
Introduction: Surgery is the cornerstone of ovarian cancer treatment. Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel, minimally invasive technique that is gaining interest in gynecological oncology. However, its use in ovarian cancer is still limited, with only a few cases reported.
View Article and Find Full Text PDFWomens Health (Lond)
March 2025
Department of Obstetrics and Gynaecology, Care Hospitals, Banjara Hills, Hyderabad, India.
Background: Robotics-assisted surgery (RAS) offers several advantages over traditional laparoscopic surgery, such as enhanced precision, dexterity, and ergonomics, and allows stable movements with tremor filtering and motion scaling. The new multi-modular Hugo™ RAS system is commercially available in certain countries and is used in urological, gynecological, and general surgical procedures.
Objectives: To document the experience with the use of the Hugo™ RAS system in 20 patients who underwent surgery for various gynecological conditions at a hospital in Hyderabad, India.
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