Classic Intrafascial Supracervical Hysterectomy [CISH Technique]

Williams, Jeyakumar

doi:10.5005/jp/books/10476_14

Cited by 3 publications

(6 citation statements)

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“…In cases of adenomyosis or diffuse myomatosis of the uterus with no cervical pathology, CISH or LASH should be the method of choice for hysterectomy [10]. At CISH, the transformation zone of the cervix is cored out in addition to the subtotal uterine resection.…”

Section: Methodsmentioning

confidence: 99%

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Mettler¹,

Schollmeyer²,

Tinelli³

et al. 2012

Obstetrics and Gynecology International

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A critical analysis of the surgical treatment of fibroids compares all available techniques of myomectomy. Different statistical analyses reveal the advantages of the laparoscopic and hysteroscopic approach. Complications can arise from the location of the fibroids. They range from intermittent bleedings to continuous bleedings over several weeks, from single pain episodes to severe pain, from dysuria and constipation to chronic bladder and bowel spasms. Very seldom does peritonitis occur. Infertility may result from continuous metro and menorrhagia. The difficulty of the laparoscopic and hysteroscopic myomectomy lies in achieving satisfactory haemostasis using the appropriate sutures. The hysteroscopic myomectomy requires an operative hysteroscope and a well-experienced gynaecologic surgeon.

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Section: Methodsmentioning

confidence: 99%

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Mettler¹,

Schollmeyer²,

Tinelli³

et al. 2012

Obstetrics and Gynecology International

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“…Figure 1 gives an overview of the combination possibilities for laparoscopic and vaginal surgery, including parailical and paraaortic lymphadenectomies. In comparison to conventional abdominal hysterectomy and vaginal hysterectomy, the following laparoscopic hysterectomy techniques are currently practised: 6,20–22…”

Section: Which Techniques To Resect the Uterus In Malignant And Benigmentioning

confidence: 99%

“…Kurt Semm performed sub-total hysterectomy with coring of the inner cervix to totally resect the cylindrical cervical epithelium. 3 The operative steps are detailed in Figure 3, in a sequence from A till L. The cervix is dissected from the uterine corpus with a LINA loop 6 and the uterus is morcellated transabdominally. It is also now possible to morcellate the uterus transcervically with the Rotocut (Storz), after coagulation of the ascending branches of the uterine arteries but without the positioning of Roeder loops.…”

Section: Which Techniques To Resect the Uterus In Malignant And Benigmentioning

confidence: 99%

“…At the 2007 International Hysterectomy Symposium in Kiel, 6 colleagues from Europe, Australia, South America, Africa, Taiwan (Chyi Long Lee), Japan (Masaaki Andou) and the United States (Farr, Camran and Ceana Nezhat) reported on their experience of performing radical endoscopic surgery. A live radical hysterectomy, performed by Shailesh Puntambekar (India), was transmitted to the Kiel meeting and again in 2008 to the Biannual German Congress of Obstetrics and Gynaecology in Hamburg.…”

Section: Recent Focus On Hysterectomies Including Uterine Manipulatorsmentioning

confidence: 99%

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Hysterectomy for Uterine Disease in 2010: From past to Future

Mettler

Sammur

Schollmeyer

2010

Clin Med�Insights�Reprod�Health

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Hysterectomies were unknown in the field of obstetrics and gynaecology until the 19th century. In the 20th century they were perhaps too frequently performed whereas the 21st century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespread consensus that hysterectomies are primarily to be performed in cancer cases and obstetrical chaos situations even though minimal invasive surgical technologies (MIS) have made the procedure more patient friendly than the classical abdominal opening. Today, minimally invasive hysterectomies are performed as frequently as vaginal hysterectomies and the vaginal approach is the first choice if the correct indications are given. It is no longer necessary to open the abdomen; this procedure has been replaced by laparoscopic surgery. Laparoscopic and robotic-assisted laparoscopic surgery can also be indicated for hysterectomies in selected patients with gynaecological cancers. For women of reproductive age, laparoscopic myomectomies and numerous other uterine-preserving techniques are applied in a first treatment step of meno-metrorrhagia, uterine adenomyosis and submucous myoma. These interventions are only followed by a hysterectomy if the pathology prevails.

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“…The endoscopic historical technical development of improved imaging with superior technology, from Georg Kelling to Kurt Semm to the da Vinci® Surgical System (Intuitive Surgical, Inc., CA, USA) [1–3];…”

mentioning

confidence: 99%

Imaging in Gynecologic Surgery

Mettler

Sammur

Alkatout

et al. 2011

Womens Health (Lond Engl)

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The technical development of instruments for endoscopic surgery started in the field of gynecology. In the early 1970s, with the improvement of optics and instruments for laparoscopic surgery, gyne-endoscopic surgery developed and set milestones for all other surgical fields. However, the general surgeons propagated the advantages of 2D or 3D imaging surgery much better than the conservative gynecologists. Surgery on a 2D screen without direct vision is regarded as more advantageous than open surgery and has achieved wide acceptance. Several schools of gynecologic endoscopy in Europe (in Kiel, Giessen, Clermont Ferrand and Strasbourg) have set guidelines for gyne-endoscopic surgery. Our catalog of indications in the areas of gyne-endoscopic surgery, published in 2002, reveals the broad application of these techniques today. 3D vision, robotic instruments and systems, such as the da Vinci(®) Surgical System from Intuitive Surgical, Inc. (CA, USA), round up the picture of endoscopic surgery. The advantages of endoscopic surgery over open surgery (more precision, less trauma, less postoperative pain, shorter hospital stays and a faster recovery period) are becoming more accepted. The present healthcare systems and hospital administrations understand the challenges of imaging in surgery, particularly in endoscopic surgery.

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Classic Intrafascial Supracervical Hysterectomy [CISH Technique]

Cited by 3 publications

References 0 publications

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Complications of Uterine Fibroids and Their Management, Surgical Management of Fibroids, Laparoscopy and Hysteroscopy versus Hysterectomy, Haemorrhage, Adhesions, and Complications

Hysterectomy for Uterine Disease in 2010: From past to Future

Imaging in Gynecologic Surgery

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