Structured Abstract :
At present, energy source is used, either monopolar current or harmonic scalpel in total laparoscopic hysterectomy for colpotomy. This is associated with lateral thermal damage to adjacent organs. The risk of scar dehiscence is high as compared to abdominal hysterectomy
The objective of the new technique is to reduce these complications.
The colpotomy is done by blade and scissors through the vaginal tube and not by any energy source.
The cut edge is sharp making it easy to pick full thickness. Colpotomy is quicker than by using energy source, there are no toxic fumes thus visibility is not affected. Cardinal ligaments are tied to edge of vaginal angle, as is done in abdominal hysterectomy.
Key words: colpotomy, energy source, laparoscopic hysterectomy, ureteral injury
Colpotomy, energy source, total laparoscopic hysterectomy
The authors report no conflict of interest.
Copyright © 2015 Pandurang Ramchandra Rotithor
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