Combined Laparoscopic Cholecystectomy (LC) and Laparoscopic Assisted Vaginal Hysterectomy (LAVH) is Feasible and Safe in Selected Cases

Dalmia, S.; Dalmia, Ritu

doi:10.9734/bjmmr/2015/16616

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2017

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“…After cutting the posterior leaflet of the broad ligament, the adnexa remains pedunculated and the ureter is kept away, since it is mobilized along with the peritoneum. The first assistant should secure the adnexa and apply traction in a direction opposite to the lombo-ovarian ligament [ 8 ].…”

Section: Case Presentationmentioning

confidence: 99%

Surgical Technique of Concomitant Laparoscopically Assisted Vaginal Hysterectomy and Laparoscopic Cholecystectomy

Stancu

Grad

Mihaileanu

et al. 2017

Medicine and Pharmacy Reports

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BackgroundLaparoscopically assisted vaginal hysterectomy is one of the most frequently performed gynecologic operations, and numerous authors have demonstrated its safety and feasibility.Case presentationWe practiced in some selected cases simultaneous laparoscopically assisted vaginal total hysterectomy with bilateral adnexectomy and laparoscopic cholecystectomy using 5 trocars without uterine manipulator. Previous examinations included abdominal ultrasound, cervix biopsy and CT of abdomen and pelvis.Our aim was to evaluate the surgical technique of our initial experiences for combined laparoscopically assisted vaginal hysterectomy and laparoscopic colecystectomy.ConclusionsLaparoscopic hysterectomy had a number of advantages over the conventional technique given the underlying associated diseases, postoperative pain, rapid recovery and aesthetic benefits.

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Section: Case Presentationmentioning

confidence: 99%