Hand-Assist Laparoscopic Surgery for the Gynecologic Surgeon

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Hand-Assist Laparoscopic Surgery for the Gynecologic Surgeon

BACKGROUND Hand assist laparoscopy (HALS) is a minimally invasive technique which allows for the placement of the surgeon's non-dominant hand through a hand-port device while maintaining pneumoperitoneum. There is no standardization of this procedure and it is rarely used in gynecology. METHODS The multidisciplinary team of authors, with experience in minimally invasive pelvic surgery, has de...

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Re: JSLS(2009)13(4):484–488. Hand-assist Laparoscopic Surgery for the Gynecologic Surgeon

The authors quoted 4 papers related to the use of handassisted laparoscopy in gynecologic cancer while ignoring the first contribution to the literature on the subject published by us in 2000.6 We were the first to report the value of the technique as an effective and safe method to facilitate the completion of complex oncologic procedures that may otherwise require a lengthy, difficult and ris...

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Laparoscopic surgery for gynecologic cancer.

Operative laparoscopy is an alternative to laparotomy for most gynecologic surgical procedures, but its role in gynecologic oncology has been considered only recently. Laparoscopy has been applied to gynecologic cancer with good results. Advantages include better visualization of the abdominal cavity and more rapid recovery, allowing earlier initiation of either chemotherapy or radiotherapy. Co...

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The Role of Hand Assist Laparoscopic Surgery (HALS) in Pelvic Surgery for Nonmalignant Disease

OBJECTIVE Hand assist laparoscopic surgery (HALS) is a surgical modality rarely used in benign gynecology. We analyzed nonmalignant pelvic disorders that utilized HALS to see whether there is any benefit over standard laparotomy. METHODS A case control chart review identified patients who underwent HALS for a variety of benign gynecological conditions from 2004 through 2007. Cases were then c...

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ژورنال

عنوان ژورنال: JSLS : Journal of the Society of Laparoendoscopic Surgeons

سال: 2009

ISSN: 1086-8089,1938-3797

DOI: 10.4293/108680809x12589998404001