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Hand-assist laparoscopic surgery for the gynecologic surgeon
Joy Brotherton1, Steven McCarus, Jay Redan
1Celebration Women's Center for Pelvic Health, Celebration, Florida, USA. joy_brotherton@Hotmail.com
Background:
Hand assist laparoscopy (HALS) is a minimally invasive technique which allows for the placement of the surgeon's non-dominant hand through a hand-port device while maintaining pneumoperitoneum. There is no standardization of this procedure and it is rarely used in gynecology.
Methods:
The multidisciplinary team of authors, with experience in minimally invasive pelvic surgery, has developed a practical approach performing HALS over several years. Here we present our technique.
Conclusions:
There are several roles for HALS in the world of gynecology and pelvic surgery. Further experience will help improve upon a standard technique.
