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Laparoscopic Hysterectomy: Tips and Tricks

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Order can vary !!

Bipolar Cautery Laproscopic Suturing

Gyrus (PK) Sealer

Ligasure Harmonic Scalpel Enseal

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Rumi KOH Colpotomizer Colpoprobe

Kronner Zumi Sponge stick

Ureter

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Suture Left Uterine Vessels

Gyrus of Right Uterine Vessels

L-Hook Scissors Needle cautery

Gyrus Ligasure Harmonic Scalpel Laser

Monopolar

Other Options

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1.  Proper patient selection is key. 2.  A laparoscopic approach follows the same

principles as at laparotomy. 3.  Medial traction on the IP will reduce the risk of

ureteric injury at the pelvi sidewall. 4.  Axial force from below is critical for bladder

dissection and to avoid ureteric injury. 5.  Avoid complete hemostasis and dessication of

the vaginal cuff. 6.  Consider doing a cystoscopy with every TLH.