Total Laparoscopic Hysterectomy (TLH)
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/lt03enosorio002
Total Laparoscopic Hysterectomy (TLH) is a safe and reproducible technique. However, its use has been limited so far. The most quoted criticisms to this surgery are technical difficulties and concerns about urinary complications. In the different publications that have demonstrated the feasibility and safety of the procedure, a step by step technique has always been remarked. It is a very complete lecture that addresses all aspects to achieve good results when performing TLH. Not only Dr. Osorio outlines the 10 key steps of this surgery, but she also presents the preoperative set-up, the instruments required, and the specific considerations related to the ureter and to the management of difficult cases.