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Fibroids in Laparoscopic Hysterectomy

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Hysterectomy
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Abstract

Laparoscopic hysterectomy is one of the most common treatment for uterine fibroids. According to resection range, hysterectomy can be total or supracervical. Almost all the laparoscopic hysterectomy due to fibroids can be performed by laparoscopy, but hysterectomy of a large uterus requires power morcellation to facilitate removal, which links to an increased risk of disseminating occult malignancy into the abdominal and peritoneal cavities, and it has become a main reason for restriction of laparoscopic hysterectomy. The crucial part of laparoscopic hysterectomy is good exposure and proper processing of the vessels, the bladder and ureters. To achieve better exposure and operating space, the use of a uterine manipulator and placement of Trocars are important.

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Abbreviations

B:

Bladder

C:

Cervix

CL:

Cardinal ligament

CVG:

Cervico-vesical gap

FT:

Fallopian tube

O:

Ovary

OV:

Ovarian vessels

R:

Rectum

RL:

Round ligament

SV:

small venae

U:

Uterus

UA:

Uterine artery

UL:

Uterosacral ligament

UOL:

Utero-ovarian ligament

UOV:

Utero-ovarian vessels

UUL:

Umbilicourethralligament

UV:

Uterine veins

UVB:

Uterine veins bleeding

UVF:

Utero-vesical fold

UVS:

Uterinevessels

V:

Vagina

VCL:

Vesico-cervical ligament

VIE:

Vena iliaca externa

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Correspondence to Xiaofeng Zhao .

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© 2018 Springer International Publishing Switzerland

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Zhao, X., Huang, L., Xu, S. (2018). Fibroids in Laparoscopic Hysterectomy. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_29

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22496-1

  • Online ISBN: 978-3-319-22497-8

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