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TLH with Mishra Knot and Simple Bipolar with Three Port
Laparoscopic Surgery Video for Gynecologists / Oct 8th, 2022 3:42 pm     A+ | a-

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This Video demonstrates TLH with Mishra Knot and Simple Bipolar with Three Port. The simple bipolar system has some advantages and is cost-effective over the conventional ligasure or harmonic scalpel system, and therefore, may offer an alternative option for patients undergoing TLH. Ligation of a uterine artery by Mishra's knot is very effective and it will prevent ureteric injury. in TLH once in the operating room, you will receive either spinal and/or general anesthesia before the surgery to keep you from feeling pain. The choice of anesthesia is a decision that will be made by anesthesia based on your history and your wishes. If you receive general anesthesia after you are asleep and before the surgery starts: a tube to help you breathe will be placed in your throat. After a Total Laparoscopic Hysterectomy patient will be discharged either the same day or the very next day of surgery. Laparoscopic hysterectomies have been clearly associated with decreased blood loss, shorter hospital stay, speedier return to normal activities, and fewer abdominal wall infections when compared with abdominal hysterectomies. Total laparoscopic hysterectomy is a safe and effective procedure for women needing a hysterectomy. We enjoy a high operative volume and perform approximately 300 laparoscopic hysterectomy cases annually with a conversion rate of 1 in every 500 cases. The steps described herein in this video are not meant to be an absolute truth, but rather a true and tested method that has served us well to safely accomplish this procedure. For more information: World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi INDIA Phone: +919811416838
3 COMMENTS
Dr. Deepti Grover
#1
Oct 9th, 2022 9:36 am
Total laparoscopic hysterectomy (TLH) is the complete hysterectomy including transection of the uterine vessels and opening/closure of the vaginal vault performed laparoscopically. This procedure can be performed as an alternative to total abdominal hysterectomy in many cases. The procedure was carried out using the ICG illumination. An illuminated manipulator was used due to difficulties in identifying vaginal vaults and small uterine mobility, most likely after inflammation. The left side of the uterine artery was ligated by Mishra's knot.
Dr. Paras Agarwal
#2
Oct 18th, 2022 12:30 pm
Mishra’s knot has been proven to be one of the most secure, safe extracorporeal knots in laparoscopy. It can be used for all continuous tubular structures of up to 22 mm diameter.
The technique is easy to perform and can be done in minimal possible time. “This technique of extracorporeal knotting is simple, easy, and reproducible with a good knot and loop security and can be used with any suture material of any size.”
Dr. Pallavi Unnikrishnan
#3
Nov 12th, 2022 10:34 am
Hysterectomy or removal of uterus is one of the commonly performed operations in Gynaecology. It was most commonly done by abdominal route since ages. But open hysterectomy with big incision and later on ugly scars in the abdomen has its disadvantages of late recovery, more pain, more infection, more loss of official work days and hernia and is obviously of no cosmetic benefit.
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World Laparoscopy Hospital
Cyber City
Gurugram, NCR Delhi, 122002
India

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