TLH in case of Previous 2 C-Sections | Multiple Large Exophytic Isthmic Fibroids by Dr. Kishan Patel скачать в хорошем качестве

TLH in case of Previous 2 C-Sections | Multiple Large Exophytic Isthmic Fibroids by Dr. Kishan Patel

🔍 Total Laparoscopic Hysterectomy (TLH) | Previous 2 C-Sections | Large Exophytic Isthmic Fibroids 📽️ This surgical video demonstrates a Total Laparoscopic Hysterectomy (TLH) in a complex case involving a patient with a history of two lower segment Caesarean sections (LSCS) and multiple large exophytic fibroids located in the isthmus of the uterus. ✅ Case Highlights: • previous 2 C-section • Findings: Multiple large exophytic fibroids in the isthmic region • Challenges: Dense pelvic adhesions due to previous surgeries, distorted anatomy, limited uterine mobility • Approach: Safe dissection of bladder flap, meticulous adhesiolysis, step-by-step TLH with energy devices 🛠️ Surgical Steps Covered: 1. Port placement and abdominal access 2. Adhesiolysis of anterior abdominal wall and bladder 3. Identification and protection of ureters 4. Control of uterine vessels using advanced energy 🎯 Key Surgical Tips: • Strategies for handling previous cesarean scar tissue • Bladder dissection techniques in post-cesarean cases • Management of large fibroids laparoscopically • Enhancing safety around distorted pelvic anatomy 📌 This video is intended for educational purposes for gynecologists, laparoscopic surgeons, and trainees. Viewer discretion advised due to graphic surgical content. 🔔 Subscribe for more advanced gynecologic laparoscopic procedures and surgical tutorials. #LaparoscopicHysterectomy #TLH #FibroidSurgery #GynecologicSurgery #MinimallyInvasiveSurgery #PreviousCSection #ExophyticFibroid #Adhesiolysis #MedicalEducation #OBGYN #PelvicSurgery #drkishan​ #kishanpatel​ #laparoscopicsurgery​ #tlh​ #laparoscopichysterectomy​ #totallaparoscopichysterectomy​ #simplelaparoscopichysterectomy​ #basicstepoftlh​ #stepwiselaparoObgy​ #gynecologistinnadiad​ #younggynecologist​ #obstetrician​ #nadiad​ #gynecologist​ #doctorinnadiad​ 📌 Don’t forget to like, share, and subscribe for more Youtube channel @StepwiselaparoObgy     / @stepwiselaparoobgy