DOI: http://dx.doi.org/10.18203/2349-2902.isj20212753

Goel’s technique of laparoscopic hysterectomy for endometrium carcinoma

Vipin Goel

Abstract


The laparoscopic hysterectomy is the preferred choice in performing a hysterectomy in endometrial carcinoma. It is a great alternative to abdominal hysterectomy. The need for proper training, availability of adequate tools and infrastructure are some problems which have affected its wider reach in practice. The operating time required is more compared to abdominal hysterectomy but the merits of laparoscopic hysterectomy outweigh these problems. This technique has shown promising results due to a reduction in postoperative complications, hospital stay and a quick return to normalcy. This article described the technique of performing laparoscopic hysterectomy which the surgeon has introduced and has been practicing for the last few years. It is known as Goel’s technique after the name of the surgeon who had first described and successfully executed. This technique encompasses 10 operative steps which are fixed in a way to carry out laparoscopic hysterectomy in safe manner. It emphasizes the identification of anatomical structure before cutting down. The main attribute of this technique is that this procedure operates without the use of vaginal manipulators or Myoma screws which carries the risk of spreading malignancy in the systemic circulation. This technique has highlighted the safety factor during the operation. The technique is easy to understand for surgeons and has been well received in the patients.


Keywords


Endometrium carcinoma, Goel’s technique, Harmonic energy, Laparoscopic hysterectomy, Vaginal manipulators

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References


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