Dr. Dipak Limbachiya & Prof. Dr. Sarita Agarwal welcome you to a recorded live surgical webinar on “Safe TLH with Retroperitoneal approach”.
Part 1: Drive Safely through the Pelvis - Anatomy explained by Prof. Dr Sarita Aggarwal
● Retroperitoneal Anatomy
● Avascular Spaces of the Female Pelvis and classification
● Surgical Anatomy in Gynaecological Oncology
● Journey through retroperitoneum
● Female Pelvis- Sacral Promontory
● Ureter and surrounding structures and its importance in the surgery
● Pelvic vessels
● Pelvic nerves
● Lymphatics
● Retropubic space and its surgical importance
●Vesicovaginal/Vesicocervical space and its surgical importance
●Rectovaginal space and its surgical importance
●Rectorectal space
●Approach to Inferior Presacral Space
●Attention during dissection (vessels, nerves and structures)
●Lateral space and its importance
●Obturator space
●Para vesical space and caution to be undertaken
●Yabuki space and importance
●Latzko’s space
●Okabayashi’s space
Part 2: Surgery: Onsite live surgery performed by Dr Dipak Limbachiya (Questions of the delegates were addressed during the operation)
●Preparation and Positioning
●Insertion of a Uterine Manipulator and positioning
●Abdominal Entry and Trocar Placement
●Coagulation and cutting of cornual structures
●Incisions made and structure underlying demonstrated and explained throughout the surgery
●Dissection of the uterovesical peritoneal fold
●Dissection of the posterior peritoneum and skeletonization of the uterine vessels
●Pararectal space and Okabayashi’s space and vessles and nerves described
●Medial approach demonstrated
●Mobilize the Bladder/ Bladder dissection
●Secure the Uterine Vessels
●Tubo ovarian structures secured
●Separate the Uterus and Cervix from the Vaginal Apex
●Coagulation of uterine vessels
●Colpotomy
●Removal of the Uterus
●Vaginal Cuff Closure
●Port Site Closure
We look forward to your participation and an interactive learning session. We thank Ethicon for making this session possible.
