Gasless Laparoscopic Surgery MINIMALLY INVASIVE TREATMENT OVARIAN AND

Gasless Laparoscopic Surgery MINIMALLY INVASIVE TREATMENT OVARIAN AND UTERINE SURGERY Course content is available at http: //mdcurrent. in/courses/

HYSTERECTOMY 75% are still done as open surgeries For treating dysfunctional uterine bleeding, uterine myomatosis, adenomyosis, endometriosis, and other benign diseases

Advantages of Lift laparoscopic hysterectomies Advantages are with respect to §Operative time §Blood loss §Intra-operative and postoperative complications §Postoperative pain §Being back to normal work §Vaginal discharge

H/O Hysterectomy § Conrad Lagenback in 1813 § Clarke in 1843 [TAH] § Clay and Coberle 1863 § Semm in 1988 first lap. Hysterectomy § Semm Myomectomy too

Tubal Swelling §Hydrosalpinx §Pyosalpinx §Hematosalpinx § pain in the lower abdomen (both sides), especially when you move or walking § chronic pelvic pain § infertility § fever and chills § irregular or abnormal menstrual bleeding or spotting § vaginal discharge

Ovarian swellings §Follicular cyst §Corpus Luteum cyst §Hemorrhagic cyst §Dermoid cyst §Endometroid cyst §Polycystic ovaries

The new retractor § For the Umbilical incision § Easy to use with lift § Angulations helps with easy positioning

Endometriosis § 10% of couples affected § Fecundity less by 12 -36% § Laparoscopy the best chance of diagnosis

Advantages of SILLS § Regional anesthesia § Cosmetic advantage § Use of conventional instruments § Quick recovery