TY  - JOUR
AU  - Jain Nutan
AU  - Sureddi Priyanka
AU  - Srivastava Sakshi
AU  - Gulati Divyanee
AU  - Sareen Shweta
AU  - Jain Vandana
AU  - Mann Sonika
AU  - Agarwal Chetna
AU  - Singh Shalini
AU  - Bayya S Prasanna
PY  - 2024
DA  - 2024/03/30
TI  - From Complexity to Clarity: Fellows’ perspective on Comprehensive Canopy Concept-‘The 3 Step Technique’ of Total Laparoscopic Hysterectomy
JO  - Archives of Clinical Obstetrics and Gynecology Research
VL  - 3
IS  - 1
AB  - Total Laparoscopic Hysterectomy (TLH) is pivotal in gynecological surgeries, offering
advantages like decreased blood losses, faster recovery, shorter operative time and reduced
hospital stays.
The Comprehensive Canopy Concept: ‘The 3 Step Technique’ emerges as a three-step
strategy for streamlining TLH procedures in complex cases, characterized by extensive
bladder adhesions and ventrifixed uterus.
As fellows under the guidance of a distinguished gynaecology laparoscopic surgeon, we
recount the evolution of this approach. The first step challenges conventional norms by
advocating for a posterior approach to uterine artery, dissection and ligation before bladder
dissection. The second step involves meticulous dissection to create a bloodless uterovesical
space creating a bladder canopy. The culmination of this technique lies in the third step,
employing an anterior approach to dissect and coagulate the contralateral uterine artery.
As fellows, we share our experience in adopting the Comprehensive Canopy Concept: ‘The
3 Step Technique’ emphasizing its positive impact on surgical outcomes in densely adherent
bladder and patient care in cases of complex TLH. This technique not only transcends
traditional approaches but also addresses persistent challenges, offering a systematic
approach that ensures safety and reproducibility.
SN  - 2768-0304
UR  - https://dx.doi.org/10.33425/2768-0304.1018
DO  - 10.33425/2768-0304.1018