Article

Colpotomy in total laparoscopic hysterectomy without using an energy source: a new approach

Author: Pandurang Ramchandra Rotithor Dr. (IMAX Multispeciality Hospital, Wagholi, Pune, Maharashtra, India 412101)

  • Colpotomy in total laparoscopic hysterectomy without using an energy source: a new approach

    Article

    Colpotomy in total laparoscopic hysterectomy without using an energy source: a new approach

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Abstract

Structured Abstract :

At present, energy source is used, either monopolar current or harmonic scalpel in total laparoscopic hysterectomy for colpotomy. This is associated with lateral thermal damage to adjacent organs. The risk of scar dehiscence is high as compared to abdominal hysterectomy

The objective of the new technique is to reduce these complications.

The colpotomy is done by blade and scissors through the vaginal tube and not by any energy source.

The cut edge is sharp making it easy to pick full thickness. Colpotomy is quicker than by using energy source, there are no toxic fumes thus visibility is not affected. Cardinal ligaments are tied to edge of vaginal angle, as is done in abdominal hysterectomy.

Key words: colpotomy, energy source, laparoscopic hysterectomy, ureteral injury

Keywords: Colpotomy, energy source, total laparoscopic hysterectomy

How to Cite:

Rotithor, P. R., Dr., (2015) “Colpotomy in total laparoscopic hysterectomy without using an energy source: a new approach”, Proceedings in Obstetrics and Gynecology 4(3), 1–10. doi: https://doi.org/10.17077/2154-4751.1241

Rights: Copyright © 2015 Pandurang Ramchandra Rotithor

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Published on
23 Feb 2015
Peer Reviewed
License
CC BY 4.0