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