TLH with B/l Salpingectomy

[@sourabhnphadke]

Excellent video and demonstration, Dr. AShwin!

[@ashwinthangavelu]

Thank you for the feedback

[@payelchakraborty2023]

​@@ashwinthangavelu how long does the surgery take? I have adenomyosis and endometriosis and have to get this done next month.. how long does a patient stay under anaesthesia sir ..can I go home the same day sir?

[@padmapriya5163]

Sir Thanks for this informative one Can u plz post TLH for bigger sized uterus,

[@ashwinthangavelu]

Thank you for the feedback There are more videos in the channel, will be posting more shortly as well.

[@MrAmbaghat]

Very good dissection. But why attention had tachycardia? GA? Light plane?

[@ashwinthangavelu]

I am sorry I dont understand the question

[@MrAmbaghat]

Funny - typing autocorrection sorry. I was asking why was PATIENT had tachycardia?

[@ashwinthangavelu]

@@MrAmbaghat She was light at that point

[@shanky20111]

Para vesicle dissection to lift the bladder off completely before doing adhesiolysis is a great step you showed in such difficult cases. I routinely see ureter coursing through the medical leaf of IP ligament and then take ligasure for the uterosacrals and uterine artery. What is your opinion on that ? Thank you.

[@ashwinthangavelu]

For IP ligament it is good technique, but for Uteroscaral sometimes the ureter is not clearly visible so in those cases the paravesical space dissection and visualisation of ureter is a better method to visualise the ureter directly

[@shanky20111]

@@ashwinthangavelu Great. Thank you.

[@drsaurabhmudgil]

please show the port placement and uterine manipulator

[@ashwinthangavelu]

Supraumbilical camera port 10mm. 3x5 mm working ports in RIF, infraumbilical and LIF

[@ashwinthangavelu]

Working ports will be 2 cms below the line of umbilicus

[@ashwinthangavelu]

We have not used uterine manipulator. Myoma spiral used for manipulation

[@zuhibsarfraz]

Port position?. Working ports are quite anterior.is'nt it

[@ashwinthangavelu]

Supraumbilical camera port 10mm. 3x5 mm working ports in RIF, infraumbilical and LIF

[@ashwinthangavelu]

Working ports will be 2 cms below the line of umbilicus

[@sivachandran4420]

What the needle size and suture material used for vault closure?

[@ashwinthangavelu]

I have used 1 Vicryl 40mm

[@sivachandran4420]

@@ashwinthangavelu . Thank u sir, about the needle model like 1/2 or 3/8 like that which one sir...??

[@ashwinthangavelu]

@@sivachandran4420 1/2 circle

[@sivachandran4420]

@@ashwinthangavelu thank u sir..

[@drajitpatil7687]

Very nice and fluent commentary too. Are you using 5 mm ligasure instrument for cutting down adhesions

[@ashwinthangavelu]

Thank you. Yes it is the 5mm ligasure

[@DRASHOKPRASADULA]

Good demonstration sir. May I know the port placement sir

[@ashwinthangavelu]

Supraumbilical camera port 10mm. 3x5 mm working ports in RIF, infraumbilical and LIF. Working ports 2 cm below the line of umbilicus

[@mondalrakesh1347]

Sir upload any video of lap. Peptic perforation repair