2.27 CME

Case Discussion on Laparoscopic Hysterectomy

Conférencier: Dr. Hemant Kanojiya ​

Pelvic Endoscopic Surgeon. Endometriosis specialist

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Description

Laparoscopic hysterectomy is a minimally invasive surgical procedure that involves removing the uterus through small abdominal incisions. It is commonly used to treat various gynecological conditions, such as uterine fibroids, abnormal bleeding, endometriosis, and certain cancers. A laparoscope, equipped with a camera, provides a clear view of the pelvic organs, and surgical instruments are introduced through additional small incisions for the uterus's removal. Compared to traditional open hysterectomy, this approach offers advantages such as reduced postoperative pain, shorter hospital stays, faster recovery, and smaller scars, making it a preferred option for many patients seeking a less invasive treatment option. However, individual medical conditions and the surgeon's expertise play a role in determining the most suitable surgical approach.

Résumé

  • The webinar on laparoscopic hysterectomy, hosted by Dr. Suparna, featured Dr. Heyman Kanhazir, a gynecologist and endoscopic surgeon. The discussion focused on safe surgical techniques and case discussions. The session emphasized the importance of staying updated with advancements in the field and providing opportunities for medical professionals to expand their knowledge and skills.
  • Dr. Kanhazir's presentation highlighted key anatomical landmarks and surgical strategies to prevent ureteric injury during hysterectomy. He advocated for exposing and dissecting the ureter to create a safe margin, particularly in complex cases like endometriosis or frozen pelvis. The session also stressed the significance of starting dissections at the pelvic brim and working from normal areas towards pathological ones.
  • The discussion addressed scenarios involving previous cesarean sections, emphasizing the need to identify and separate the bladder carefully. Thermal energy usage was discussed, highlighting the importance of using it judiciously to avoid thermal damage to critical structures. Dr. Kanhazir shared his philosophy of dissecting and exposing critical organs like the bowel, bladder, and ureter before proceeding with the hysterectomy.
  • The webinar also included a Q&A session, where Dr. Kanhazir answered questions regarding transitioning from basic laparoscopy to TLH, the optimal timing for hysterectomy post-childbirth, port placement techniques, and the meaning of insufflation. He also addressed whether laparoscopic hysterectomy can be done in grade 2 prolapse with a uterus size of 9.5 cm. The session concluded with a call to follow SMLA on Instagram for updates on upcoming webinars and case discussions.

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