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Hysterectomy pp 401-411 | Cite as

Fibroids in Laparoscopic Hysterectomy

  • Xiaofeng ZhaoEmail author
  • Lu Huang
  • Sheng Xu
Chapter
  • 712 Downloads

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.

Keywords

Laparoscopy Uterine fibroids Uterine artery Blood vessels Uterine manipulator Morcellation Total hysterectomy Supracervical hysterectomy Devascularization 

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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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  1. 1.Department of GynecologyZhejiang Provincial People’s HospitalHangzhouChina

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