Description

Introduction: Total laparoscopic hysterectomy (TLH) has revolutionized gynecological surgery by providing a minimally invasive approach for the removal of the uterus. An innovative technique that has gained recognition is TLH using the myoma screw without the need for a uterine manipulator. This essay explores the remarkable benefits of this surgical breakthrough, highlighting how it offers enhanced precision and safety for patients undergoing total laparoscopic hysterectomy. Understanding Total Laparoscopic Hysterectomy: Total laparoscopic hysterectomy is a surgical procedure that involves the removal of the uterus using small incisions in the abdomen. It is typically performed to treat various gynecological conditions, such as uterine fibroids, endometriosis, or abnormal uterine bleeding. Traditional TLH involves the use of a uterine manipulator, a device inserted into the uterus to facilitate manipulation and exposure during the procedure. The Role of Myoma Screw in TLH without Uterine Manipulator: The myoma screw is a specialized instrument used to secure and stabilize the uterus during TLH without the need for a uterine manipulator. This breakthrough technique allows surgeons to perform the procedure with enhanced precision, safety, and patient comfort. Enhanced Precision and Safety: Minimized risk of uterine injury: By eliminating the need for a uterine manipulator, TLH using the myoma screw reduces the risk of uterine injury during the procedure. The myoma screw provides secure fixation of the uterus, allowing for precise manipulation and dissection without compromising the integrity of the uterine tissue. Improved visualization: The absence of a uterine manipulator provides a clear field of vision for the surgeon. This enhanced visualization allows for better identification and preservation of surrounding structures, minimizing the risk of accidental damage during the procedure. Reduced risk of cervical trauma: The myoma screw enables controlled manipulation of the uterus, reducing the risk of cervical trauma. It provides stability and traction without exerting excessive force on the cervix, ensuring the preservation of its anatomical integrity. Enhanced patient comfort: TLH using the myoma screw without a uterine manipulator offers improved patient comfort during and after the procedure. The elimination of uterine manipulation reduces the likelihood of postoperative discomfort and potential complications, contributing to a more favorable patient experience. Total laparoscopic hysterectomy (TLH) performed without a uterine manipulator, using the myoma screw, represents a groundbreaking surgical approach for the removal of the uterus. This advanced technique offers enhanced precision and safety, providing patients with a minimally invasive option for total laparoscopic hysterectomy. TLH is a surgical procedure that involves the removal of the uterus through small incisions in the abdomen. Traditionally, a uterine manipulator is used to facilitate manipulation and exposure during the surgery. However, the use of the myoma screw as an alternative to the uterine manipulator has gained recognition for its significant advantages. By eliminating the need for a uterine manipulator, TLH using the myoma screw offers several benefits. Firstly, it reduces the risk of uterine injury by providing secure fixation and stabilization of the uterus. This ensures precise manipulation and dissection while maintaining the integrity of the uterine tissue. Furthermore, the absence of a uterine manipulator enhances visualization during the procedure. Surgeons have a clear field of vision, allowing for better identification and preservation of surrounding structures. This reduces the risk of accidental damage and improves surgical outcomes. TLH using the myoma screw also reduces the risk of cervical trauma. The controlled manipulation of the uterus with the myoma screw minimizes excessive force on the cervix, preserving its anatomical integrity and reducing the likelihood of complications. In addition to the surgical advantages, TLH using the myoma screw without a uterine manipulator enhances patient comfort. By eliminating uterine manipulation, postoperative discomfort is reduced, contributing to a more favorable patient experience. In summary, TLH using the myoma screw without a uterine manipulator is an innovative and advanced technique for total laparoscopic hysterectomy. It offers enhanced precision, safety, and patient comfort, making it a valuable option for women undergoing this surgical procedure. Conclusion: Total laparoscopic hysterectomy using the myoma screw without a uterine manipulator represents a surgical breakthrough that enhances precision and safety in gynecological surgery. By eliminating the need for a uterine manipulator, this technique minimizes the risk of uterine injury, improves visualization, reduces the risk of cervical trauma, and enhances patient comfort. As a result, TLH using the myoma screw offers a remarkable advancement in total laparoscopic hysterectomy, providing patients with a safer and more effective surgical option.