Difficult TLH | Previous 2 CS | Multiple Fibroid | Lateral morcellation Specimen Retrieval Dr.Kishan скачать в хорошем качестве

Difficult TLH | Previous 2 CS | Multiple Fibroid | Lateral morcellation Specimen Retrieval Dr.Kishan

Watch this step-by-step Total Laparoscopic Hysterectomy (TLH) in a challenging case of multiple large fibroids with previous 2 Caesarean sections. Learn safe dissection, advanced surgical tips, and vaginal specimen retrieval using morcellation techniques. ⸻ In this detailed surgical video, we present a complex case of Total Laparoscopic Hysterectomy (TLH) for a uterus enlarged with multiple fibroids (both exophytic & intramural) in a patient with a history of two previous Caesarean sections. The case highlights: • Safe laparoscopic entry and management of dense pelvic adhesions from prior C-sections. • Adhesiolysis and bladder dissection in a scarred pelvis. • Stepwise TLH procedure: identification of surgical planes, uterine artery skeletonization & coagulation, colpotomy, and meticulous vault closure. • Specimen retrieval technique: Vaginal delivery of the large uterus using lateral morcellation and central coring of fibroids, enabling safe extraction of the intact specimen without abdominal morcellation. • Key tips & tricks for handling challenging hysterectomy cases with large fibroids, distorted anatomy, and previous surgical scars. 📌 Educational Value: • Demonstrates advanced laparoscopic techniques for complex hysterectomy. • Provides safer options for specimen delivery in large uteri. • Useful for gynecologists, laparoscopic surgeons, postgraduate trainees, and surgical learners worldwide. If you find this video helpful, please like, share, and subscribe to support surgical education and training in gynecological laparoscopy. #TotalLaparoscopicHysterectomy #TLH #LaparoscopicHysterectomy #FibroidSurgery #UterineFibroids #MinimallyInvasiveSurgery #GynecSurgery #EndoscopicSurgery #Laparoscopy #HysterectomySurgery #OBGYN #LaparoscopicGynecology #MedicalEducation #SurgicalVideo #AdvancedLaparoscopy #VaginalSpecimenRetrieval #VaginalMorcellation #LateralMorcellation #CentralCoring #SpecimenDelivery #SafeMorcellation #NaturalOrificeSurgery #GynecEndoscopy #TLHWithMorcellation #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