The deflectable tip of the ENDOEYE FLEX allows movement to a bird's eye view to allow precise coagulation, grasping and positioning of devices like e.g. a laparoscopic loop. By that the safety during hysterectomy is increased by full visualisation of all critical structures and procedural steps. The first endoscopes offering an HD image in 5 mm allow more flexibility in gynaecological procedures combined with the best visualization possible.
There are a number of different techniques for hysterectomy: abdominal, vaginal and laparoscopic. Each technique comes with advantages and disadvantages for both patients and surgeons. However, minimal-invasive, or laparoscopic, hysterectomy offers one of the best clinical and cosmetic outcomes for patients in a majority of cases.
Minimal-invasive procedures only require a few small incisions, resulting in less postoperative pain compared to an abdominal hysterectomy. The smaller abdominal incisions also result in less scarring on the abdomen. With the LESS (Laparo-Endoscopic Single-Site) technique, there is only one incision in the umbilicus that is invisible in most cases and leads to a practically scarless cosmetic result.
LSH – Laparoscopic Supracervical Hysterectomy
In a Laparoscopic Supracervical Hysterectomy (LSH) the uterus is removed (ovaries and fallopian tubes if necessary) but the cervix is left in place. Although this could not be proven with clinical evidence so far LSH may help reduce risk of pelvic floor prolapse whereas there still is a possibility for prolapse of the cervical stump. There also seems to be smaller risk of intraoperative injuries of bladder and ureters. LSH is the least invasive procedure. Patient recovery time is less than other types of hysterectomies.
With LSH patients can faster start sexual activity where with TLH there can be risk of reopening the vaginal cuff. The choice for type of hysterectomy depends on patient's and/or surgeon's preferences.
TLH – Total Laparoscopic Hysterectomy
In TLH the uterus is removed completely including the cervix (ovaries and fallopian tubes if necessary). Although this couldn’t be proven with clinical evidence so far there exists the theory that TLH may increase the risk for pelvic floor prolapse as you basically cut a hole into the pelvic support by taking out the uterus. There also might be a higher risk for intraoperative bladder and ureter injuries as preparation of the uterus way down to the cervix is done very close to the ureters and the cutting line of colpotomy is closer to the bladder than in LSH. Anyhow with TLH there will be no more menstrual bleeding. Regular PAP smears for prevention of cervical cancer are not necessary anymore, risk for cervical cancer is eliminated.
The new Olympus VISERA ELITE imaging platform with the first endoscopes offering a HD image in 5 mm and the HD ENDOEYE FLEX offer the best HD image for safe procedures and ideal visualisation. The Olympus PK range is a dedicated energy platform for gynaecology that includes every energy device needed for laparoscopic hysterectomies. The PK HALO Cutting Forceps and THUNDERBEAT are two choices of outstanding multifunctional devices that are designed for reliable coagulation and haemostasis, safe vessel sealing and a fast and easy procedure.