Description

Total Laparoscopic Hysterectomy (TLH) has become one of the most advanced and preferred surgical procedures for the management of various gynecological conditions, offering women a minimally invasive alternative to traditional open surgery. Among the many refined techniques in this domain, the ligation of the uterine artery at its origin is considered a cornerstone of successful outcomes. Dr. R. K. Mishra, a globally recognized laparoscopic and robotic surgeon, has pioneered safe, effective, and reproducible methods for performing TLH with precise uterine artery ligation. Importance of Uterine Artery Ligation The uterine arteries are the main blood supply to the uterus. Their early and careful ligation during TLH significantly reduces intraoperative bleeding, enhances surgical field visibility, and decreases the risk of complications. By mastering this technique, surgeons can perform hysterectomies with greater efficiency, minimal blood loss, and improved patient safety. Dr. Mishra’s Expertise in TLH At World Laparoscopy Hospital, Dr. R. K. Mishra has standardized the step-by-step approach to TLH with uterine artery ligation, ensuring that surgeons-in-training and practicing gynecologists can learn the technique in a structured, evidence-based manner. His method emphasizes: Early Identification of Anatomy: Clear dissection of pelvic spaces to identify the ureter, uterine artery, and other vital structures. Precise Uterine Artery Control: Ligation of the artery at its origin from the internal iliac, ensuring effective hemostasis. Safe Energy Application: Use of advanced energy sources for coagulation and cutting, minimizing tissue damage. Minimally Invasive Principles: Small incisions, magnified visualization, and delicate handling to reduce recovery time and complications. Clinical Applications TLH with uterine artery ligation is especially beneficial in cases such as: Symptomatic fibroids Abnormal uterine bleeding unresponsive to medical therapy Endometriosis Adenomyosis Early-stage endometrial or cervical cancers (in selected cases) Benefits for Patients Reduced blood loss and transfusion requirement Less postoperative pain Faster return to normal activities Shorter hospital stay Excellent cosmetic results Contribution to Surgical Training Dr. Mishra has not only performed thousands of such advanced procedures but has also dedicated his career to training surgeons worldwide. Through hands-on laparoscopic training programs at World Laparoscopy Hospital, he demonstrates the fine details of uterine artery ligation, making complex surgeries accessible and safe for gynecologists across the globe. Conclusion Total Laparoscopic Hysterectomy with uterine artery ligation is a benchmark in modern gynecological surgery, combining precision with patient-centered outcomes. Under the guidance and expertise of Dr. R. K. Mishra, this technique continues to empower surgeons with advanced skills while offering patients the benefits of minimally invasive surgery.