title: Total laparoscopic hysterectomy: a tried and tested technique.
abstract: Gynecologists are increasingly adopting total laparoscopic hysterectomy as their preferred method for performing a hysterectomy. The laparoscopic approach offers a superior view of the anatomy, facilitates meticulous hemostasis, enables the surgeon to perform adnexal surgery and pelvic reconstructive surgery, and reduces morbidity associated with large abdominal incisions. During the last 10 years, the surgeons at the Sydney Women's Endosurgery Centre (SWEC) have developed a laparoscopic technique using the same well-known steps as in the open abdominal approach. The ovarian pedicles are ligated, the uterine pedicles and vaginal vault are sutured laparoscopically, and some novel time-saving maneuvers are adopted.
authors.affiliation: Sydney Women's Endosurgery Centre, St. George Private Hospital, Kogarah, Sydney, NSW, Australia. nickelkington@hotmail.com
authors.forename: Nicholas
authors.initials: N
authors.lastname: Elkington
authors.forename: Gregory
authors.initials: G
authors.lastname: Cario
authors.forename: David
authors.initials: D
authors.lastname: Rosen
authors.forename: Mark
authors.initials: M
authors.lastname: Carlton
authors.forename: Danny
authors.initials: D
authors.lastname: Chou
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D013536:Suture Techniques