Total Laparoscopic Hysterectomy (TLH) is a minimally invasive surgical procedure commonly performed to remove the uterus. One critical step during TLH is bladder dissection, which involves separating the bladder from the uterus to ensure safe removal. If you’re looking for expert care, consulting a highly skilled gynaecologist in Indore who specializes in laparoscopic procedures is essential. 

Understanding Bladder Dissection in TLH 

Bladder dissection becomes particularly crucial when there is a history of previous surgeries like cesarean sections, which may cause dense adhesions between the bladder and uterus. A well-experienced laparoscopic surgeon in Indore takes utmost care to minimize risks while performing this procedure. 

Step-by-Step Process of Bladder Dissection 

1) Patient Preparation: 

The patient is positioned in the Trendelenburg position (head down and pelvis elevated) to ensure proper visualization of pelvic organs. A catheter is placed to drain the bladder, reducing the risk of injury. 

2) Port Placement and Visualization:
 

Multiple ports are created through small incisions. A laparoscope is inserted through one of the ports to visualize the pelvic cavity. The surgical area is inspected thoroughly.
 

3) Identification of Uterovesical Fold:
 

The uterovesical fold of the peritoneum, which lies between the bladder and the uterus, is carefully identified. This fold is incised to access the bladder.
 

4) Bladder Mobilization:
 

The bladder is gently dissected away from the uterus using precise movements and energy devices. If dense adhesions are present due to previous surgeries, a meticulous technique is employed to prevent bladder injury. 

5) Ensuring Safety: 

The surgeon continuously monitors the bladder’s integrity throughout the dissection. Advanced energy sources like bipolar forceps are often used to coagulate and cut tissues without causing damage to the bladder. 

6) Completion: 

Once the bladder is adequately mobilized, the uterus is safely detached and removed through the vaginal route or morcellated laparoscopically.
 

Why Choose a Laparoscopic Surgeon in Indore?
 

Undergoing TLH requires precision and expertise. Consulting a skilled gynaecologist in Indore with extensive experience in laparoscopic surgery ensures safer outcomes and quicker recovery. Dr. Sushmita Mukherjee, a leading laparoscopic surgeon in Indore, specializes in performing complex procedures with minimal complications. 

Conclusion 

Bladder dissection during TLH demands meticulous planning and skilled execution. Choosing the right laparoscopic surgeon in Indore is crucial to achieving optimal surgical outcomes with minimal risks. If you’re considering laparoscopic surgery, consult Dr. Sushmita Mukherjee for expert guidance and care.