Chapter 10 - Initial Pedicles and Where is the Ring? - Book: Single Port Advanced Laparoscopic Hysterectomy: An Advanced Ultra-Minimally Invasive Surgical Technique - (LESS-11mm Hysterectomy) - Author: Greg J. Marchand MD, FACS, FICS, FACOG
Creators: name: Marchand, Gregory
Publisher: name: figshare
Year: 2020
Subjects: subject: 111402 Obstetrics and Gynaecology
subject: FOS: Clinical medicine
subject: FOS: Clinical medicine

description: Chapter 10 - Initial Pedicles and Where is the Ring?<br><br>Summary: This chapter discusses the first steps of a single port laparoscopic hysterectomy and discusses the proper technique to successfully accomplish the procedure.<br>Book: Single Port Advanced Laparoscopic Hysterectomy: An Advanced Ultra-Minimally Invasive Surgical Technique - (LESS-11mm Hysterectomy)<br>ISBN: 9780578568751<br>Self described as an informal textbook, "Single Port Advanced Laparoscopic Hysterectomy" reviews a single technique of removing the uterus through a tiny umbilical incision, and explains the processes in great detail. The book revolves around a step-by-step analysis of the surgical technique, complete with in-depth analysis of both the support in the literature as well as the surgeon's rationale for every step of the procedure. The book is a must-read for all gynecologic surgeons, providing both helpful insight and reinforcing the surgeon's own thought processes in this complicated surgical technique.<br>Q: What is this book?<br>A: This is an informally written textbook succinctly describing a single surgical technique and how to safely and efficiently perform that technique. It includes patient selection and suggestions for other courses of action for patients who are not candidates.<br>Q: Who is this book written for?<br>A: Gynecologic Surgeons of all skill levels. For novices, it will give you the strong opinions of one bossy surgeon to question and challenge. For more experienced surgeons it gives a remarkably candid insight into what one of your colleagues (or competitors,) is truly thinking. This gives you the benefit of either:Reaffirming your own beliefs regarding hysterectomy, and receiving a feeling of pleasure for knowing that great minds think alike, or;Challenging your beliefs with the concepts that I present in this book, and possibly growing your expertise. Either way, you gain something.<br>Q: Do you claim that this is the most minimally invasive hysterectomy we can perform in 2019?<br>A: No, you could still do a completely vaginal hysterectomy, and I recommend doing so in appropriate patients. Also, some authors have used unusual or custom instruments to push the limits a little further, but this is the only described technique using regular commercial equipment that is widely available and inexpensive.<br>Q: What do you mean by “informally written” textbook?<br>A: It is meant to be read in the interest of learning the technique and asking yourself if the principles call into question your own surgical decisions and the reasoning behind them. It is also fairly extensively referenced, like most textbooks. It is informal in that there are essentially no tables or graphs, and I write in the first person. Also I say “fuck” a lot.<br>Q: Would you like feedback?<br>A: Very much so! Email me at: greg@marchandinstitute.org. Later editions, if produced, will most likely be composed of corrections and updates to the technique, based on input from other surgeons.<br>Q: Is there somewhere I can watch an example of this surgery being performed?<br>A: Click this link for a video: http://marchandinstitute.org/singleportvideo<br>Q: Why did you write this book?<br>A: Although journal articles (especially in video format) are a great way to share research information, I felt this technique was a little more complex than a single article could encompass. I thought a short, concise book would be the best format to share the technique, as well as to invite feedback from other surgeons. I also thought a “this is what I’m thinking” book would be valuable and comforting to many of my colleagues.