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Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony...
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Transcript of Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony...
![Page 1: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/1.jpg)
‘Staring down the mouth of progress’
![Page 2: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/2.jpg)
Total Laparoscopic Hysterectomy with a Transvaginal Tube
Tony McCartney & Andreas Obermair
The Journal of the American Association of Gynecologic LaparoscopistsFebruary 2004, Volume 11, Number 1: 79-82.
![Page 3: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/3.jpg)
Laparovaginal hysterectomy: A decade of evolution.
Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman
Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004
![Page 4: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/4.jpg)
Robert A. Jones (1993):
Laparoscopic hysterectomy: a technique
Australian and New Zealand Journal of Obstetrics and Gynaecology Volume 33: pages 290-295.
Laparoscopic hysterectomy: a series of 100 cases
Medical Journal of Australia Volume 159: pages 447-449.
![Page 5: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/5.jpg)
Total Laparoscopic Hysterectomy with a Transvaginal Tube
Tony McCartney & Andreas Obermair
The Journal of the American Association of Gynecologic LaparoscopistsFebruary 2004, Volume 11, Number 1: 79-82.
“The technique [of Total Laparoscopic Hysterectomy] has improved by the use of bipolar diathermy
rather than laparoscopic stapling devices”.
![Page 6: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/6.jpg)
Laparovaginal hysterectomy: A decade of evolution
Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman
Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004
With regard to one of the major aims of Laparoscopic hysterectomy of
“enhanced ureteric protection: staples are no longer used to achieve pedicle
haemostasis in the vicinity of the ureter”.
![Page 7: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/7.jpg)
Tyco EndoGIA
![Page 8: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/8.jpg)
A Review of Laparoscopic Ureteral Injury in Pelvic Surgery.
Ostrzenski A, Radolinski B, Ostrzenski KM.
Obstetrical and Gynecological Survey December 2003, Volume58: pages 794-799.
![Page 9: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/9.jpg)
Laparovaginal hysterectomy: A decade of evolution.
Jennifer R. Cook, Robert T. O'Shea and Elvis I. Seman
Australian and New Zealand Journal of Obstetrics and GynaecologyVolume 44 Issue 2 Pages 111-116, April 2004
![Page 10: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/10.jpg)
Endo GIA UNIVERSAL
![Page 11: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/11.jpg)
- DVD -
![Page 12: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/12.jpg)
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OUR URETERIC INJURY RATE FOR THE LAST 1,000 LAPAROSCOPIC
HYSTERECTOMIES
0.1%
![Page 14: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/14.jpg)
Incidence and management of gynaecological-related ureteric injuries.
Aslan P, Andrew Brooks, Drummond M.
Australian and New Zealand Journal of Obstetrics and Gynaecology April 1999, Volume 39: pages 178-181.
Abdominal hysterectomy ureteric injury rate of 0.24%
Western Sydney
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Urinary tract injuries after hysterectomy.
Harkki-Siren P, Sjoberg J, Tiitinen A.
Obstetrics and GynecologyJuly 1998, Volume 92: pages 113-118.
Abdominal hysterectomy ureteric injury rate of 0.4%
- Finland
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IN EXPERIENCED HANDS AND WITH THE RIGHT TECHNIQUE THE URETERIC INJURY RATE IS NO HIGHER FOR
LAPAROSCOPIC HYSTERECTOMY THAN FOR ABDOMINAL HYSTERECTOMY
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THE SECURING OF UTERINE VESSELS AT LAPAROSCOPIC HYSTERECTOMY WITH STAPLES IN EXPERIENCED HANDS
MAY WELL OFFER SIMILAR IF NOT LOWER RATES OF URETERIC INJURY THAN DOES BIPOLAR DIATHERMY
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IN THE EARLY DAYS OF LAPAROSCOPIC HYSTERECTOMY URETERIC INJURY RESULTED MORE FROM
SURGICAL INEXPERIENCE AND TECHNIQUE DEVELOPMENT THAN OF
INSTRUMENT FAILURE
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WITH THE DEVELOPMENT OF APPROPRIATE TECHNIQUES AND SURGICAL EXPERTISE, THE CUTTER STAPLING
DEVICE HAS A VALUABLE PART TO PLAY IN THE PERFORMANCE OF LAPAROSCOPIC HYSTERECTOMY
![Page 20: Staring down the mouth of progress. Total Laparoscopic Hysterectomy with a Transvaginal Tube Tony McCartney & Andreas Obermair The Journal of the American.](https://reader036.fdocuments.net/reader036/viewer/2022062619/5517e4b7550346d5568b4686/html5/thumbnails/20.jpg)
LEFT OVARY
UTERUS: 510g
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Total Laparoscopic Hysterectomy for Very Enlarged Uteri
Arnaud Wattiez, M.D., D. Soriano, M.D., A. Fiaccavento, M.D., et al.
The Journal of the American Association of Gynecologic LaparoscopistsMay 2002, Volume 9, Number 2: pp 125-130.
“The main challenge is securing uterine vessels”.
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Laparoscopically-Assisted Vaginal Hysterectomy for Fibroid Uteri Weighing at least 500 grammes.
Nesrin Salmanli and Peter Maher
Australian and New Zealand Journal of Obstetrics and Gynaecology April 1999, Volume 39: pages 182-184.
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Endoscopic Stapling of Large Uterine Vessels at Laparoscopic Hysterectomy for Uterine Fibroid Masses
Of 500g or more: a pilot study.
Roger McMaster-Fay
Gynecology Surgery 2004, Volume 1: pages 195-197.
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UTERUS: 1,255g