By Togas Tulandi
This superbly illustrated publication presents a pragmatic step by step consultant to the entire laparoscopic and hysteroscopic techniques played by way of gynecologists. every one technique is defined intimately and entirely illustrated with colour pictures. the capability issues are defined, and the situations during which a method is contraindicated are tested. The 3rd version of the "Manual of Laparoscopic and Hysteroscopic options" has been extended and greatly up-to-date with new chapters together with: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic belly cerclage, and hysteroscopy sterilization.
"Manual of Laparoscopic and Hysteroscopic strategies" is a useful source for busy working towards gynecologists who are looking to research step by step strategies of a surgery.
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Additional resources for Atlas of Laparoscopy and Hysteroscopy Techniques, Third Edition
POTENTIAL COMPLICATIONS AND THEIR PREVENTION ● ● Injury to a vessel or bowel can occur. A mounted needle should be under vision all the time. , during a myomectomy) before knot-tying. The needle may be lost. 6 The needle is inserted into the fenestration of the knot-pusher before the knot is slid down into the abdominal cavity. 7 Equal tension is applied to both ends of the suture, and the knot is tightened with the help of the knot-pusher. 9 Bleeding uterine perforation has been closed with sutures.
Segmental resection of the tube or total salpingectomy can be performed, depending on the location of the pregnancy and the extent of tubal damage. Segmental resection is preferred when the pregnancy is in the isthmic part of the tube. It allows possible re-anastomosis later if desired. The tubal segment is excised by coagulating and cutting the tube proximal and distal to the pregnancy, followed by the mesosalpinx in between. One should avoid overcoagulating the tube, to minimize the thermal damage to the residual tube.
Bipolar coagulation should not be used for vaporization, since the depth of infiltration and of coagulation are both difficult to evaluate. 5). The rate of pain relief is 60–80% and the cumulative pregnancy rate is 60–70% at 6 to12 months after surgery. The recurrence rate of cystic lesions is 5–7% after excision, but is much higher (20%) after local aspiration. ’ We do not recommend these techniques. 7). This is a fast and complete treatment. Following adhesiolysis, drainage, and rinsing of the cyst content, we incise the ovarian capsule around the cyst opening with the CO2 laser.