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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Mini-lap hysterectomy revisited with new concepts and technical modifications
Mushtaq Chalkoo1, Shahnawaz Ahangar, Abdul Munnon Durrani
1Dept. of Surgery, Government Medical College, Srinagar, Kashmir, India. mushtaq_chalkoo@rediffmail.com
International Journal of Surgery (London, England)
|April 5, 2011
Summary
This study modified mini-laparoscopic hysterectomy techniques, achieving successful outcomes with minimal blood loss and short hospital stays for benign uterine disorders.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Surgical Technique Innovation
Background:
- Hysterectomy is a common surgical procedure for benign uterine disorders.
- Conventional open hysterectomy involves significant incisions and recovery times.
- Mini-laparoscopic hysterectomy aims to reduce surgical invasiveness.
Purpose of the Study:
- To present technical modifications for performing mini-laparoscopic hysterectomy.
- To report the clinical experience and outcomes of this modified approach.
Main Methods:
- A prospective study involving 200 patients with benign uterine disorders.
- Procedures performed between March 2006 and March 2008.
- Utilized a 4-5 cm midline incision above the symphysis pubis.
Main Results:
- All 200 procedures were completed successfully without major complications.
- Mean operative time was 30 minutes; average blood loss was 20 ml.
- Mean hospital stay was 30 hours, with patients returning to routine work within 1 week.
Conclusions:
- The modified mini-laparoscopic hysterectomy is a safe and effective technique.
- This approach offers benefits of reduced operative time, minimal blood loss, and rapid recovery.
- Further experience supports its utility for benign uterine conditions.
