Description

Dr. R K Mishra, a pioneer in minimal access surgery, recently delivered an in-depth lecture on Laparoscopic Radial Hysterectomy (LRH), a complex but highly effective procedure in the field of gynecologic surgery. Known globally for his expertise in laparoscopic and robotic surgery, Dr. Mishra provided an invaluable learning experience for surgeons, residents, and medical enthusiasts keen on mastering advanced gynecologic techniques. Overview of Laparoscopic Radial Hysterectomy Laparoscopic Radial Hysterectomy is an advanced surgical procedure primarily indicated for cases of early-stage cervical cancer or complex benign uterine conditions where conventional hysterectomy may be insufficient. Unlike standard hysterectomy, LRH involves the meticulous removal of the uterus along with a portion of surrounding tissues, parametrium, and upper vagina, ensuring complete excision of disease while preserving surrounding structures. Key Highlights from the Lecture Surgical Anatomy and Planning Dr. Mishra emphasized the importance of a thorough understanding of pelvic anatomy. He demonstrated how precise identification of the uterine artery, ureters, and pelvic nerves is critical to prevent complications and ensure optimal surgical outcomes. Stepwise Surgical Technique The lecture detailed the step-by-step LRH procedure, including: Patient positioning and port placement Uterine mobilization Dissection of parametrium and surrounding ligaments Safe transection of vessels using advanced energy devices Vaginal cuff closure and specimen retrieval Use of Advanced Laparoscopic Instruments Dr. Mishra showcased the use of high-definition laparoscopes, energy sealing devices, and minimally invasive suturing techniques, highlighting how these tools enhance precision, reduce intraoperative blood loss, and accelerate recovery. Patient Selection and Outcomes Emphasizing careful patient selection, Dr. Mishra discussed indications, contraindications, and the importance of preoperative imaging. He shared real-world outcomes, noting that LRH offers less postoperative pain, shorter hospital stays, and faster return to daily activities compared to traditional open surgery. Tips for Young Surgeons The lecture was enriched with practical tips for surgeons learning LRH, including troubleshooting difficult dissections, managing complications, and ensuring patient safety. Dr. Mishra encouraged continuous practice, simulation training, and observation of live surgeries to develop proficiency. Conclusion Dr. R K Mishra’s lecture on Laparoscopic Radial Hysterectomy was a masterclass in combining surgical precision with minimally invasive techniques. It reinforced the value of meticulous planning, technical expertise, and patient-centric care in advanced gynecologic surgery. Surgeons and trainees left with actionable insights, inspired to elevate their skills and adopt safer, more efficient approaches in complex hysterectomies.