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

In this video, the procedure demonstrated is Total Laparoscopic Hysterectomy (TLH) using Mishra Knot and Simple Bipolar with Three Port. TLH is a minimally invasive surgical procedure that removes the uterus using laparoscopic instruments. The Mishra Knot technique is used to ligate the uterine artery, which is an effective method to prevent ureteric injury during the procedure. The Simple Bipolar system, which is cost-effective and has some advantages over the conventional ligasure or harmonic scalpel system, is used in this procedure. Three small incisions are made in the abdomen to insert laparoscopic instruments, and the uterus is detached from the surrounding tissues and removed through one of the incisions.

Before the surgery, the patient will receive either spinal or general anesthesia to prevent pain during the procedure. If the patient receives general anesthesia, a tube will be placed in the throat to help with breathing. After the TLH, the patient can typically be discharged on the same day or the next day, and recovery is usually faster than with an abdominal hysterectomy.

The video emphasizes that TLH is a safe and effective procedure for women who need a hysterectomy, with a low conversion rate. While the steps shown in the video are not absolute, they are a true and tested method that has served the surgeons well in performing this procedure.

This video demonstrates a surgical procedure called Total Laparoscopic Hysterectomy (TLH) with Mishra Knot and Simple Bipolar with Three Port. The procedure is designed to remove the uterus through small incisions in the abdomen using laparoscopic instruments. The use of a simple bipolar system has several advantages over the conventional ligasure or harmonic scalpel system, making it a cost-effective alternative for TLH patients.

During the TLH procedure, a small incision is made in the patient's abdomen, and laparoscopic instruments are inserted through it to access the uterus. The uterine artery is ligated using a technique called Mishra's knot, which is effective in preventing ureteric injury.

Before the surgery, patients receive spinal and/or general anesthesia to prevent pain. The choice of anesthesia depends on the patient's history and preferences. For general anesthesia, a tube is placed in the patient's throat to assist with breathing during the surgery.

After the TLH procedure, patients are typically discharged the same day or the next day. Compared to traditional abdominal hysterectomies, TLH has been associated with decreased blood loss, shorter hospital stays, faster recovery times, and fewer abdominal wall infections.

Overall, TLH is a safe and effective option for women who require a hysterectomy. The surgical team performing this procedure has a high volume of cases and a low conversion rate. While the steps shown in this video may not be universal, they have been tested and found to be an effective method for safely performing TLH.

For more information: World Laparoscopy Hospital Cyber City, Gurugram, NCR Delhi INDIA Phone: +919811416838
Dr. Deepti Grover
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
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
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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