Goel’s technique of laparoscopic hysterectomy for endometrium carcinoma

Authors

DOI:

https://doi.org/10.18203/2349-2902.isj20212753

Keywords:

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

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.

Author Biography

Vipin Goel, Department of Surgical Oncology, Care Hospitals, Hyderabad, India

Surgeon, Dept of Surgical Oncology

References

Loring M, Morris SN, Isaacson KB. Minimally invasive specialists and rates of laparoscopic hysterectomy. JSLS. 2015;19(1):2014.

Einarsson J, Suzuki Y. Total laparoscopic hysterectomy:10 steps toward a successful procedure. Rev Obstet Gynecol. 2009;2(1):57-64.

Johson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry R. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005;330(7506):1478.

Elkington N, Chou D. A review of total laparoscopic hysterectomy: role, techniques, and complications. Curr Opin Obstet Gynecol. 2006;18(4):380-4.

Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989;5(2):213.

Reich H. Laparoscopic hysterectomy. Cited on Nov 2020. Available at: Reich H. Laparoscopic hysterectomy. www.adlap.com/PDF/hysto.pdf

Hassan. Laparoscopic hysterectomy-beyond Garryand Reich classification. World J Laparosc Surg. 2009;2(1):49-52.

Reich H. Total laparoscopic hysterectomy. Postgrad Obstetr Gynecol. 2008;28(16):1-8.

Youtube. Fact sheet: Goel’s technique of Laparoscopic Hysterectomy, 2020. https://www.youtube.com/watch?v=KtKEJtUyFsE Accessed on 20 May 2021.

Pepin KJ, Cook EF, Cohen SL. Risk of complication at the time of laparoscopic hysterectomy: a prediction model built from the national surgical quality improvement program database. Am J Obstet Gynecol. 2020;223(4):555.

Catanzarite T, Saha S, Pilecki MA, Kim JY, Milad MP. Longer operative time during benign laparoscopic and robotic hysterectomy is associated with increased 30-day perioperative complications. J Minim Invasive Gynecol. 2015;22(6):1049-58.

Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015;2015(8):003677.

Llarena NC, Shah AB, Milad MP. Bowel injury in gynecologic laparoscopy: a systematic review. Obstet Gynecol. 2015;125(6):1407-17.

Downloads

Published

2021-06-28

Issue

Section

Review Articles