Staring down the mouth of progress

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Staring down the mouth of progress
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Total Laparoscopic Hysterectomy with a
Transvaginal Tube Tony McCartney Andreas
Obermair The Journal of the American Association
of Gynecologic Laparoscopists February 2004,
Volume 11, Number 1 79-82.
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Laparovaginal hysterectomy A decade of
evolution. Jennifer R. Cook, Robert T. O'Shea
and Elvis I. Seman Australian and New Zealand
Journal of Obstetrics and GynaecologyVolume
44 Issue 2 Pages 111-116, April 2004
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Robert A. Jones (1993) Laparoscopic
hysterectomy a technique Australian and New
Zealand Journal of Obstetrics and Gynaecology
Volume 33 pages 290-295. Laparoscopic
hysterectomy a series of 100 cases Medical
Journal of Australia Volume 159 pages 447-449.
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Total Laparoscopic Hysterectomy with a
Transvaginal Tube Tony McCartney Andreas
Obermair The Journal of the American Association
of Gynecologic Laparoscopists February 2004,
Volume 11, Number 1 79-82. The technique of
Total Laparoscopic Hysterectomy has improved by
the use of bipolar diathermy rather than
laparoscopic stapling devices.
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Laparovaginal hysterectomy A decade of
evolution Jennifer R. Cook, Robert T. O'Shea and
Elvis I. Seman Australian and New Zealand
Journal of Obstetrics and GynaecologyVolume
44 Issue 2 Pages 111-116, April 2004 With regard
to one of the major aims of Laparoscopic
hysterectomy of enhanced ureteric protection
staples are no longer used to achieve pedicle
haemostasis in the vicinity of the ureter.
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Tyco EndoGIA
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A Review of Laparoscopic Ureteral Injury in
Pelvic Surgery. Ostrzenski A, Radolinski B,
Ostrzenski KM. Obstetrical and Gynecological
Survey December 2003, Volume58 pages 794-799.
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Laparovaginal hysterectomy A decade of
evolution. Jennifer R. Cook, Robert T. O'Shea
and Elvis I. Seman Australian and New Zealand
Journal of Obstetrics and GynaecologyVolume
44 Issue 2 Pages 111-116, April 2004
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Endo GIA UNIVERSAL
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- DVD -
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(No Transcript)
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OUR URETERIC INJURY RATE FOR THE LAST 1,000
LAPAROSCOPIC HYSTERECTOMIES

• 0.1

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Incidence and management of gynaecological-related
ureteric injuries. Aslan P, Andrew Brooks,
Drummond M. Australian and New Zealand Journal
of Obstetrics and Gynaecology April 1999, Volume
39 pages 178-181. Abdominal hysterectomy
ureteric injury rate of 0.24 Western Sydney
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Urinary tract injuries after hysterectomy. Harkki
-Siren P, Sjoberg J, Tiitinen A. Obstetrics and
Gynecology July 1998, Volume 92 pages
113-118. Abdominal hysterectomy ureteric injury
rate of 0.4 - Finland
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IN EXPERIENCED HANDS AND WITH THE RIGHT
TECHNIQUE THE URETERIC INJURY RATE IS NO HIGHER
FOR LAPAROSCOPIC HYSTERECTOMY THAN FOR
ABDOMINAL HYSTERECTOMY
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THE SECURING OF UTERINE VESSELS AT LAPAROSCOPIC
HYSTERECTOMY WITH STAPLES IN EXPERIENCED HANDS
MAY WELL OFFER SIMILAR IF NOT LOWER RATES OF
URETERIC INJURY THAN DOES BIPOLAR DIATHERMY
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IN THE EARLY DAYS OF LAPAROSCOPIC HYSTERECTOMY
URETERIC INJURY RESULTED MORE FROM SURGICAL
INEXPERIENCE AND TECHNIQUE DEVELOPMENT THAN OF
INSTRUMENT FAILURE
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WITH THE DEVELOPMENT OF APPROPRIATE TECHNIQUES
AND SURGICAL EXPERTISE, THE CUTTER STAPLING
DEVICE HAS A VALUABLE PART TO PLAY IN THE
PERFORMANCE OF LAPAROSCOPIC HYSTERECTOMY
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LEFT OVARY
UTERUS 510g
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Total Laparoscopic Hysterectomy for Very Enlarged
Uteri Arnaud Wattiez, M.D., D. Soriano, M.D., A.
Fiaccavento, M.D., et al. The Journal of the
American Association of Gynecologic
Laparoscopists May 2002, Volume 9, Number 2 pp
125-130. The main challenge is securing
uterine vessels.
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Laparoscopically-Assisted Vaginal Hysterectomy
for Fibroid Uteri Weighing at least 500
grammes. Nesrin Salmanli and Peter
Maher Australian and New Zealand Journal of
Obstetrics and Gynaecology April 1999, Volume
39 pages 182-184.
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Endoscopic Stapling of Large Uterine Vessels at
Laparoscopic Hysterectomy for Uterine Fibroid
Masses Of 500g or more a pilot study. Roger
McMaster-Fay Gynecology Surgery 2004, Volume
1 pages 195-197.
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UTERUS 1,255g