Case Clinic 1: Total Laparoscopic Hysterectomy
PROGRAM DESCRIPTION Just a few decades after the introduction of laparotomy, rapid developments in instrumentation and in the sophistication of optics led to development of laparoscopy and, ultimately, to the ...
Just a few decades after the introduction of laparotomy, rapid developments in instrumentation and in the sophistication of optics led to development of laparoscopy and, ultimately, to the the near-universal adoption of minimally invasive surgery using endoscopic techniques for most gynecologic operations—with small incisions for access of surgical instruments, resulting in less pain, shorter hospital stays, and rapid recovery compared with conventional approaches. Further refinements in instrumentation then led to the development of minilaparoscopy, which quickly evolved into a cornerstone of gynecologic surgery, including diagnosis of pelvic pathologies and performance of a variety of therapeutic procedures. Now, percutaneous surgical systems have emerged as a viable approach to gynecologic surgery that is expected to help further reduce tissue trauma and postoperative pain while improving cosmesis.
After participating in this activity, clinicians should be better able to:Discuss the evolution of laparoscopic surgery and the pros/cons of various minimally invasive surgery (MIS) proceduresDescribe the new category of percutaneous laparoscopic surgery made possible by sub–3 mm diameter instrumentsRecognize the benefits of smaller incisions with minimization of tissue trauma and improved cosmesisAppreciate the importance of decreased hospital stay, improved recovery time, and minimization of tissue trauma
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