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Total Laparoscopic Hysterectomy for the Patient with Concomitant Pelvic Organ

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Hysterectomy

Abstract

Coexisting pelvic organ prolapse (POP) presents a unique challenge during laparoscopic hysterectomy. The primary goal of surgical treatment of POP at the time of hysterectomy is to reconstruct the pericervical ring and to restore the integrity of endopelvic fascia. This chapter describes precise techniques for hysterectomy with concomitant repair of pelvic prolapse, including importance of anatomy, surgical considerations and techniques for avoiding ureteral injury. Laparoscopic techniques for uterosacral ligament suspension and sacrocolpopexy are clearly described.

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Author information

Authors and Affiliations

  1. Fellowship Minimally Invasive Gynecology, Obstetrics and Gynecology, University of Tennessee College of Medicine at Chattanooga, 979 East Third Street, Suite C720, Chattanooga, Hamilton County, TN, 37403, USA

    Shanti I. Mohling MD, FACOG & Robert S. Furr MD, FACOG

  2. Fellowship Minimally Invasive Gynecology, Obstetrics and Gynecology, University of Tennessee College of Medicine at Chattanooga, 1604 Gunbarrel Road, Chattanooga, Hamilton County, TN, 37421, USA

    C. Y. Liu MD, FACOG

Authors
  1. Shanti I. Mohling MD, FACOG
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  2. Robert S. Furr MD, FACOG
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  3. C. Y. Liu MD, FACOG
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Corresponding author

Correspondence to Shanti I. Mohling MD, FACOG .

Editor information

Editors and Affiliations

  1. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Ibrahim Alkatout

  2. Gynecology and Obstetrics, University Hospitals Schleswig-Holstein, Campus Kiel, Kiel, Germany

    Liselotte Mettler

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© 2018 Springer International Publishing Switzerland

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Mohling, S.I., Furr, R.S., Liu, C.Y. (2018). Total Laparoscopic Hysterectomy for the Patient with Concomitant Pelvic Organ. In: Alkatout, I., Mettler, L. (eds) Hysterectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-22497-8_37

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  • DOI: https://doi.org/10.1007/978-3-319-22497-8_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22496-1

  • Online ISBN: 978-3-319-22497-8

  • eBook Packages: MedicineMedicine (R0)

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