J. Kouach

Lateral-posterior First Colpotomy: Optimizing Surgical Comfort and Rectal Safety during Total Laparoscopic Hysterectomy

R. Aitbouhou, M. Elhassani & J. Kouach · Asian Journal of Research in Surgery · 2026

Objective: To evaluate the impact of colpotomy sequencing on operative time, surgical comfort, and perioperative safety during total laparoscopic hysterectomy (TLH), comparing a lateral-posterior first approach to the conventional anterior technique. Methods: A monocentric retros...

Open access Research Article 10.9734/ajrs/2026/v9i1350

Feasibility and Pain Tolerance of 19Fr Mechanical Hysteroscopic Morcellation under Local Anesthesia: A Retrospective Case Series

R. Aitbouhou, M. Elhassani & J. Kouach · Asian Research Journal of Gynaecology and Obstetrics · 2026

Objective: The paradigm shift from inpatient surgery to ambulatory settings represents a major trend in modern gynecology. However, the use of larger-diameter instruments like the 19Fr Bigatti Shaver (IBS®) under local anesthesia remains debated due to the need for cervical dilat...

Open access Research Article 10.9734/arjgo/2026/v9i1328