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Mr Ashwini K Trehan MBBS, DRCOG, FRCOG, FRCS (Edin) |
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Consultant Minimal Access Gynaecologist (with special interest in Endometriosis and Keyhole Surgery)
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KEYHOLE HYSTERECTOMYHysterectomies are becoming a less common operation due to the use of Mirena® (hormones) coil and ablative technique where lining of the womb is destroyed by heat treatment. If hysterectomy is needed, it is usually for endometriosis, pelvic inflammatory disease (infection) and adhesions, fibroids, cervical pathologies, or associated benign cysts. These can be dealt with more effectively by the use of keyhole surgery at the time of the hysterectomy - via a keyhole hysterectomy, rather than open conventional operation (total abdominal hysterectomy) or vaginal hysterectomy.
Mr Trehan undertakes all hysterectomies for non-cancerous conditions by keyhole means (except for womb larger than 24 weeks pregnant uterus). Over 90% of the patients following a hysterectomy are fit to leave hospital after one nights stay. He has pioneered overnight stay hysterectomy service in the UK with the biggest number of recorded and published series. For details refer to his article “Hysterectomy ?towards an overnight stay(Click here)
An article by Sheron Boyle in the Daily Mail regarding Mr Trehan's work highlighted the advantages of keyhole hysterectomy. Click here to view the article.
To view pictures of keyhole hysterectomy for large fibroids being undertaken, click here.
The video below demonstrates the advantages of keyhole (laparoscopic) hysterectomies over vaginal and abdominal hysterectomies. This was presented internationally at numberous conferences by Mr Trehan in 1998-2002.
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