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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Dec 19, 2025

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Laparoscopic hysterectomy: total or subtotal? - Functional and didactic aspects.

Ibrahim Alkatout1

  • 1Clinic of Obstetrics and Gynecology, Kiel School of Gynecological Endoscopy, University Clinic Schleswig-Holstein, Kiel, Germany.

Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
|June 4, 2020
PubMed
Summary

This report compares total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH). It examines factors influencing surgical decisions, including medical-ethical considerations and resource allocation.

Keywords:
Subtotal hysterectomyanatomylaparoscopypatient autonomytotal hysterectomy

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Area of Science:

  • Gynecological Surgery
  • Surgical Techniques

Background:

  • Hysterectomy is a frequent gynecological procedure.
  • Distinguishing between total and subtotal hysterectomy involves anatomical and clinical considerations.

Purpose of the Study:

  • To examine factors influencing the choice between total and subtotal hysterectomy.
  • To describe the surgical steps of total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH).
  • To discuss medical-ethical aspects related to resource scarcity and patient demand.

Main Methods:

  • Review of existing literature on hysterectomy decision-making.
  • Didactic description of surgical steps for TLH and LASH.

Main Results:

  • Factors affecting therapy decisions are analyzed individually and in context.
  • Surgical procedures for TLH and LASH are detailed.

Conclusions:

  • Therapy decisions involve a complex interplay of anatomical, clinical, and medical-ethical factors.
  • Resource allocation and patient demands influence surgical choices in hysterectomy.