Essential Techniques for Assisting in Laparoscopic Hysterectomy

Abstract

Study Objective

Laparoscopic hysterectomy (LH) is one of the most common surgeries in the United States, requiring a skilled two- to three-person team. Junior surgical assistants often lack the nuanced skills necessary for effective assistance. While technical videos typically focus on the surgeon’s role, this video aims to fill the gap by emphasizing the critical role of the assistant and equipping them with the necessary skills and techniques for successful LH assistance.

Design

Educational video guide illustrating essential assistant moves during LH, with a focus on foundational laparoscopic techniques.

Setting

N/A

Patients or Participants

N/A

Interventions

This step-by-step educational video guides surgical assistants using real-life analogies, visual aids, and unique descriptions to clarify essential moves. It covers laparoscopic principles like optimal visualization, traction-countertraction, and presenting vessels at 90 degrees for effective sealing. Key techniques, such as the uterine “T-pose,” “overhead side stretch pose,” and “rope pulling,” are demonstrated as core moves for assisting in LH.

Measurements and Primary Results

The video provides a comprehensive guide from the assistant’s perspective, emphasizing technical and ergonomic aspects of laparoscopic support. It underscores efficiency, safety, and synchronized teamwork as key factors for optimizing surgical outcomes.

Conclusion

This video offers a structured, visually engaging method for training LH assistants, introducing a shared vocabulary and simplifying complex tasks through analogies. By mastering these foundational skills, assistants can provide effective intraoperative support and prepare for future roles as lead surgeons.