active colpotomizer in use
Post on 27-Apr-2015
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TLH Total Laparoscopic Hysterectomy
Operation Shrouded in Mystique 10% of the 600,000 Hysterectomies
performed in the U.S. are TLH/LSH 1st TLH performed by Harry Reich in
1989
So WHY THE LOW UPTAKE?
What are the ROADBLOCKS to TLH?
• UTERINE VESSELS• MACKENRODT
LIGAMENTS• COLPOTOMY INCISIONS• VAULT CLOSURE
STATIC COLPOTOMISERS in current use require
HIGH LEVEL OF SURGICAL SKILL TO PERFORM TLH
RISK OF URETERIC, BLADDER, RECTAL DAMAGE
TECHNOLOGY SOLUTION:ACTIVE COLPOTOMIZER
• ALLOWS ROTATION DURING TLH
• HIGHLIGHTS ROADBLOCKS • EASY TO USE • REUSABLE (eco-friendly)
www.surgitools.net
VISIT www.surgitools.net and view brochure for step-by-step instructions on how to use product.
ROTATE ACTIVE COLPOTOMIZER LIP DURING TLH
• ACTIVE COLPOTOMIZER: DISSECT ON THE RAISED LIP AND NOTE THE EASE OF DISSECTION AND MINIMAL BLEEDING.
• STATIC COLPOTOMIZERS: REQUIRE DISSECTION DOWN
THROUGH TISSUE TO FIND THE COLPOTOMIZER, RISKING INJURIES AND BLEEDING.
ACTIVE vs STATIC COLPOTOMIZERS
ROTATE ACTIVE COLPOTOMIZER LIP DURING
THE OPERATION.• Dissect on the raised lip.• Note tissue planes displaced laterally and
away from the lip.• Use energy to seal vessels inside the lip to
minimise lateral damage.• Rotate the lip to raise, and therefore
stretch, the fornices for colpotomy incisions with minimal bleeding.
VIDEO of 2 cases showing rotation of active colpotomizer
lip during TLH
Case 1. TLH in 3 previous
Caesarean sections
Case 2. Large 18 weeks fibroid uterus
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