Abstract
Today, laparoscopic intrafascial hysterectomy and laparoscopic supracervical hysterectomy are well-accepted techniques. With our multimodal concept of laparoscopic hysterectomy for benign indications, preservation of the pelvic floor as well as reconstruction of pelvic floor structures and pre-existing prolapse situations can be achieved. The multimodal concept consists of 3 steps: 1. Intrafascial hysterectomy with preservation of existing structures. A. Technique 1: Primary uterine artery ligation. B. Technique 2: Classic intrafascial hysterectomy. 2. A technique for the stable fixation of the vaginal or cervical stump. 3. A new method of pectopexy to correct a pre-existing descensus situation. RESULTS AND CONCLUSTION: This well-balanced concept can be used by advanced endoscopic gynecologic surgeons as well as by novices in our field.
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Schedule a callMore From: JSLS : Journal of the Society of Laparoendoscopic Surgeons
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