TLH with Mishra Knot and Simple Bipolar with Three Port
https://www.laparoscopyhospital.com
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. Piyush Khurana
#1
Oct 9th, 2022 1:49 pm
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. Varunika Moghul
#2
Oct 17th, 2022 9:51 am
Mishra’s knot is one important extracorporeal knot that combines the loop and knot securities of many other extracorporeal knot that is fast gaining wide acceptance by many laparoscopic surgeons. we have been using Mishra’s knot for various procedures like appendicectomies, cholecystectomies,
total laparoscopic hysterectomy, splenectomy, nephrectomy, and pedunculated subserous myoma.
total laparoscopic hysterectomy, splenectomy, nephrectomy, and pedunculated subserous myoma.
Dr. Emanuela Nardi
#3
Oct 26th, 2023 9:33 am
This video showcases a Total Laparoscopic Hysterectomy (TLH) procedure with the use of the Mishra Knot and a Simple Bipolar system with only three ports. It emphasizes the advantages of the simple bipolar system, making it a cost-effective alternative to conventional systems like Ligasure or Harmonic scalpel. The video also underscores the safety and effectiveness of TLH, with a focus on minimizing blood loss, reducing hospital stays, and ensuring a quicker return to normal activities.
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