By Pedro F. Escobar, Tommaso Falcone
Minimally invasive surgical procedure has turn into the traditional remedy for plenty of illnesses and prerequisites. within the final decade, a number of reports have tested that laparoscopic methods have enhanced sufferers’ caliber of existence if in comparison with typical open techniques. Atlas of Single-Port, Laparoscopic, and robot Surgery serves as a consultant in single-port, common laparoscopy, and robot surgical procedure and exhibits how novel concepts, corresponding to single-port laparoscopy and robotics, have lately developed. The atlas illustrates the original demanding situations that the recent single-port surgical procedure modality offers, together with tools crowding and articulation, and the complex laparoscopic talents required to accomplish those strategies, akin to the facility to maneuver and keep watch over a versatile digicam. It additionally illustrates the right way to successfully and adequately make the most of the robotic to accomplish such a lot gynecologic systems. This unprecedented source presents scholars, citizens, fellows, working room team of workers, and training gynecologic surgeons with useful information regarding instrumentation, surgical process, port platforms, and the present study and improvement in robotics.
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Extra resources for Atlas of Single-Port, Laparoscopic, and Robotic Surgery: A Practical Approach in Gynecology
Interestingly, no large blood vessels are found in the uterine midline. Radial arteries develop from the arcuate arteries and deeply penetrate the myometrium to reach the endometrium. The spiral arteries, which arise from the radial arteries, supply the endometrium and are the terminal blood vessels of the uterus. 4 Uterine Tubes The uterine tubes are enshrouded within the uppermost aspect of the broad ligament and measure about 10–12 cm. Each tube is divided into four anatomic segments: intramural (or interstitial), isthmic, ampullary, and infundibulum.
The availability of more reliable and advanced technology makes procedures safer. 1 and assistant. The patient must rest in a horizontal position until the positioning of all trocars is completed, because the Trendelenburg position accentuates the lumbar lordosis, bringing the great vessels close to the navel and increasing the risk of vascular lesions. Before each gynecologic laparoscopic surgery, it is essential to insert a Foley catheter to empty the bladder. 2 The patient is placed flat on the table with her legs wide apart and thighs bent over the basin.
2. Avoid injecting large surface myometrial vessels. If bleeding occurs at injection sites, hold temporary pressure with laparoscopic grasper to control and prevent extravasation of vasopressin. 3. For large myomas, if needed repeat injection to the myometrium that is adjacent to the deeper base of the myoma, always alerting the anesthesiologist first. 4. Consider the use of a tourniquet for large (>10 cm) myomas. 5. Targeted spot cautery to distinct vessels and avoid excessive coagulation to myometrial tissue.
Atlas of Single-Port, Laparoscopic, and Robotic Surgery: A Practical Approach in Gynecology by Pedro F. Escobar, Tommaso Falcone