Safe Uterine artery coagulation @ Origin скачать в хорошем качестве

Safe Uterine artery coagulation @ Origin

In this surgical demonstration, we illustrate a meticulous laparoscopic approach to coagulating the uterine artery at its origin with an emphasis on anatomical landmarks, vascular safety, and energy precision. The procedure begins by entering the paravesical space between the round ligament and the infundibulopelvic (IP) ligament. Upon division of the peritoneum, the external iliac vessels are the first to appear. With gentle and controlled dissection, the internal iliac artery is identified where it is crossed by the ureter. Meticulous dissection is performed using a bipolar or advanced energy source to avoid vessel injury and bleeding, thus preserving a clear surgical field. The first medial branch visualized is the tortuous uterine artery, which crosses the ureter from lateral to medial. The superior vesical artery and obliterated umbilical artery are also identified during the dissection. Once the uterine artery is confirmed and clearly visualized, care is taken to protect the ureter before proceeding with coagulation at its origin, ensuring hemostasis and avoiding collateral damage. This video is intended for gynecologic surgeons interested in improving dissection skills and vascular control in laparoscopic hysterectomy and pelvic sidewall dissection. 🔍 Key Highlights: • Identification of pelvic vessels and ureter • Safe dissection techniques around the internal iliac artery • Uterine artery anatomy and coagulation strategy • Avoidance of ureteral and vascular injury Thanks for watching.Please do subscribe. Please visit my faceboook page   / ravikanth.gowder   Please visit my instagram page www.instagram.com/drravikanthgo please visit twitter page  / drravikanthgo