Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.

‘Staring down the mouth of progress’

Total Laparoscopic Hysterectomy with a Transvaginal Tube

Tony McCartney & Andreas Obermair

The Journal of the American Association of Gynecologic LaparoscopistsFebruary 2004, Volume 11, Number 1: 79-82.

Laparovaginal hysterectomy: A decade of evolution.

Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman

Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004

Robert A. Jones (1993):

Laparoscopic hysterectomy: a technique

Australian and New Zealand Journal of Obstetrics and Gynaecology Volume 33: pages 290-295.

Laparoscopic hysterectomy: a series of 100 cases

Medical Journal of Australia Volume 159: pages 447-449.

Total Laparoscopic Hysterectomy with a Transvaginal Tube

Tony McCartney & Andreas Obermair

The Journal of the American Association of Gynecologic LaparoscopistsFebruary 2004, Volume 11, Number 1: 79-82.

“The technique [of Total Laparoscopic Hysterectomy] has improved by the use of bipolar diathermy

rather than laparoscopic stapling devices”.

Laparovaginal hysterectomy: A decade of evolution

Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman

Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004

With regard to one of the major aims of Laparoscopic hysterectomy of

“enhanced ureteric protection: staples are no longer used to achieve pedicle

haemostasis in the vicinity of the ureter”.

Tyco EndoGIA

A Review of Laparoscopic Ureteral Injury in Pelvic Surgery.

Ostrzenski A, Radolinski B, Ostrzenski KM.

Obstetrical and Gynecological Survey December 2003, Volume58: pages 794-799.

Laparovaginal hysterectomy: A decade of evolution.

Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman

Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004

Endo GIA UNIVERSAL

- DVD -

OUR URETERIC INJURY RATE FOR THE LAST 1,000 LAPAROSCOPIC

HYSTERECTOMIES

0.1%

Incidence and management of gynaecological-related ureteric injuries.

Aslan P, Andrew Brooks, Drummond M.

Australian and New Zealand Journal of Obstetrics and Gynaecology April 1999, Volume 39: pages 178-181.

Abdominal hysterectomy ureteric injury rate of 0.24%

Western Sydney

Urinary tract injuries after hysterectomy.

Harkki-Siren P, Sjoberg J, Tiitinen A.

Obstetrics and GynecologyJuly 1998, Volume 92: pages 113-118.

Abdominal hysterectomy ureteric injury rate of 0.4%

- Finland

IN EXPERIENCED HANDS AND WITH THE RIGHT TECHNIQUE THE URETERIC INJURY RATE IS NO HIGHER FOR

LAPAROSCOPIC HYSTERECTOMY THAN FOR ABDOMINAL HYSTERECTOMY

THE SECURING OF UTERINE VESSELS AT LAPAROSCOPIC HYSTERECTOMY WITH STAPLES IN EXPERIENCED HANDS

MAY WELL OFFER SIMILAR IF NOT LOWER RATES OF URETERIC INJURY THAN DOES BIPOLAR DIATHERMY

IN THE EARLY DAYS OF LAPAROSCOPIC HYSTERECTOMY URETERIC INJURY RESULTED MORE FROM

SURGICAL INEXPERIENCE AND TECHNIQUE DEVELOPMENT THAN OF

INSTRUMENT FAILURE

WITH THE DEVELOPMENT OF APPROPRIATE TECHNIQUES AND SURGICAL EXPERTISE, THE CUTTER STAPLING

DEVICE HAS A VALUABLE PART TO PLAY IN THE PERFORMANCE OF LAPAROSCOPIC HYSTERECTOMY

LEFT OVARY

UTERUS: 510g

Total Laparoscopic Hysterectomy for Very Enlarged Uteri

Arnaud Wattiez, M.D., D. Soriano, M.D., A. Fiaccavento, M.D., et al.

The Journal of the American Association of Gynecologic LaparoscopistsMay 2002, Volume 9, Number 2: pp 125-130.

“The main challenge is securing uterine vessels”.

Laparoscopically-Assisted Vaginal Hysterectomy for Fibroid Uteri Weighing at least 500 grammes.

Nesrin Salmanli and Peter Maher

Australian and New Zealand Journal of Obstetrics and Gynaecology April 1999, Volume 39: pages 182-184.

Endoscopic Stapling of Large Uterine Vessels at Laparoscopic Hysterectomy for Uterine Fibroid Masses

Of 500g or more: a pilot study.

Roger McMaster-Fay

Gynecology Surgery 2004, Volume 1: pages 195-197.

UTERUS: 1,255g