ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF

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ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF

ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF

ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF

Most probably you will know everything about this book..so I won’t disturb you with long descriptions. I wrote some points from the book for your reference its beginnings in our department back in 1991, the laparoscopic approach for prolapse has changed consider-ably. Initially limited to strict reproduction of the techniques carried out by laparotomy, the addition of a number of complementary procedures has since enriched it so that, today, it provides an answer to all the situations encountered in the context of female prolapse repair.
The usual advantages of laparoscopy โ€“ less post-operative discomfort, shorter hospital stay, etc. โ€“ were rapidly eclipsed by the innovating aspect of this technique.By combining the precision of endoscopic vision and the
positive pressure of the pneumoperitoneum, access has
been gained to anatomical spaces that were difficult to exploit before, and the repair procedures can be adjusted
under strict visual control. The results have been encouraging from the outset and are now excellent, with perfect anatomical correction and remarkable functional results. The time has now come to simplify the techniques
and to render them reproducible by others, with acceptable operating times.

In most cases, each manipulation is preceded by a move-ment thrusting the uterus towards the patientโ€™s head. Anteversion is achieved by combining two movements: pushing on the uterus and anteversion by lowering the handle of the device. This movement places the two uterosacral ligaments under tension and exposes the pouch of Douglas. Similarly, the adnexa are exposed by pushing and moving the handle laterally underneath the patientโ€™s legs, which are in a lithotomy position, being spread and half-bent. The valve can be manipulated at any time and
enables the vaginal fornices to be exposed correctly.

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ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF

 

ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF



ATLAS OF OPERATIVE LAPAROSCOPY AND HYSTEROSCOPY 3rd Edition PDF