R. Aitbouhou

External Iliac Vessel Mobilization via Ilio-Lumbar Fossa Opening: Impact on Safety and Yield of Laparoscopic Pelvic Lymphadenectomy

R. Aitbouhou · Asian Research Journal of Gynaecology and Obstetrics · 2026

Background: Pelvic lymphadenectomy is an important component of surgical staging in early-stage cervical and endometrial cancers. However, limited access to the deep obturator fossa and common iliac bifurcation can make laparoscopic dissection technically challenging and may incr...

Open access Research Article 10.9734/arjgo/2026/v9i1378

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