Simplified Laparoscopic Hysterectomy: Practical, Safe and Economic Methodology Rajendra S Sankpal, Mahantesh Karoshi, Late Louis G Keith
INDEX
Page numbers followed by f refer to figure
A
Abdomen 37
Abdominal wall 11
anterior 8
preparation 37
Abscess, intra-abdominal 8
Accessory instrument trolley 23f
Adhesions 8
intra-abdominal 8
Adnexae 40
Allen type stirrups 18
Anesthesia
general 33
hypotensive 54
Aorta, bifurcation of 17f
Atrophic uterus 7
Atrophy 28
B
Bipolar forceps 29, 30
tip of 22
Bladder
adequate dissection of 6
catheter 9
dissection 26, 27, 48, 49
distended 38
Blood pressure 54, 60
Body mass index 7
Bowel 8
adhesions 8
C
Carbon dioxide insufflation 7
Cardiac disease 33
Cardiorespiratory system 8
Cervical dilatation 37
Cervico-vaginal junction 27
Cesarean sections 8
Colpotomy 51
incision, posterior 51
Cornual structures
coagulation of 45, 48
cutting of 45, 48
D
Deep vein thrombosis 14, 18
Diabetes 33, 61
E
Endometriosis 7, 8, 25
Endovision cart 30
F
Fluid, abdominal 52
Foley catheter 24, 37
Foley inflation 24f
H
Hemostasis 46
Hypertension 33
Hypotension 60
Hypothermia 18, 31
Hysterectomy 53
abdominal 47, 50
intrafascial technique of 49
I
Instrument trolley 28
Instrumentation 24
Insufflator 32f
Intestinal surgery 8
Intravenous cannula 9
L
Laparoscope 29, 39, 40
Laparoscopic
hysterectomy 47, 16, 20, 25, 30, 61
instrument trolley 11, 21f, 28, 29
power morcellators 53
scissors 29
surgery 4
surgical skills 30
suturing 29
uterine power morcellation 53
Laparotomy 7, 9
gynecological 39
history of 8
multiple 8
Ligament, cauterization of 6
M
Mackenrodt ligaments 50
Main instrument trolley 23f
Manipulator for bladder dissection, rotating movement of 26
Myoma 52
screw 25, 29, 51, 52
Myomata 8
Myomectomy 8, 53
N
Nasogastric tube 38
Needle holder 29
Nonsteroidal anti-inflammatory drug, intravenous administration of 60
O
Obesity 33
Open laparotomy 41
Operating table, fulcrum of 14
Operation room set up 21f
Ovarian pedicle 45
P
Pain, postoperative 60
Pelvic
discomfort 61
inflammatory disease 5, 25
pathologies, combination of 33
Peritoneal dissection, posterior 48
Pneumoperitoneum 33
Polyglactin suture number 1 29
Port insertions 39
Posterior parametrium, dissection of 50
Posterior peritoneum, dissection of 47
Posthysterectomy 8
Postoperative care 59
Pouch of Douglas 8, 40
Previous cesarean delivery, history of 8
Pubic symphysis 37
R
Renal system 8
S
Samson's artery 46, 47
Sankpal's modified uterine manipulator 2426, 41, 42
Sankpal's uterine manipulator 24, 26, 37
Scar 38
abdominal 8
Sequential calf muscle compressors 18
Skin antisepsis 37
Stomach distension 38
Superior iliac spine, anterior 37
Surgeon's umbilicus 11
Surgical disease 8
T
Table, fulcrum of 12f
Ten operative steps 45
Theater
ergonomics 20
set up 11
table 11, 12, 14
Thyroid disorder 33
Tooth grasper forceps 29
Total laparoscopic hysterectomy 4, 7, 25, 26, 41, 42, 45
stepwise description of 45
Trendelenburg position 8, 16
premature induction of 16
Trocars 29
U
Umbilicus 37
Ureter anatomy of 5, 5f
Ureteric
dissection 6
injury 6
Uteri, normal 7
Uterine
arteries 24
cavity 26
fundus 6, 48
height 38
manipulation 27
manipulator 24, 25
morcellation 25, 52
pedicle 47
skeletonization of 48
scar 8
vessels
coagulation of 49
skeletonization of 27, 47
Uterocervical length 26
Uterosacral ligaments 50, 51
Uterovesical peritoneal fold, dissection of 46, 47
Uterus 8, 39, 41, 52
rotation of 25
V
Vaginal
assistant 21f, 41
monitor for 21f
bleeding, postoperative 61
closure 54
delineator tube 24, 28
instrument trolley 11, 21f, 24
vault 61
closure of 53
epithelialization of 61
Varicose veins 33
Veress needle 31, 38
W
World Health Organization 13
X
Xyphisternum 37
×
Chapter Notes

Save Clear