Скачать или смотреть Lateral Window Approach in TLH After Previous Surgery | Step-by-Step Guide

Welcome to this surgical tutorial on the Lateral Window Technique for bladder dissection during Total Laparoscopic Hysterectomy — a valuable strategy when operating on patients with previous pelvic surgeries, adhesions, or distorted anatomy.

In cases where standard bladder flap dissection is unsafe due to dense adhesions from prior cesarean sections, myomectomies, or pelvic infections, the lateral window approach provides a safer, anatomically guided pathway to develop the correct surgical plane and avoid bladder injury.

In this video, we'll walk you step-by-step through the technique, demonstrating key anatomical landmarks, proper traction-countertraction, and the importance of identifying the ureter's course laterally. This method not only improves safety but also enhances confidence when tackling complex pelvic dissections.

Let’s begin the procedure

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