Laparoscopic Subtotal Hysterectomy for a Large Cervical Fibroid

Apr 15, 2019 | 219 Views

Justin Mui, Fariba Mohtashami

This video presents the laparoscopic management of a large cervical fibroid through subtotal hysterectomy. If highlights the importance of access, visualization, anatomy, and hemostasis

STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device: Myomectomy

Apr 15, 2019 | 138 Views

Chandrew Rajakumar

This video highlights the use of the STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device is used to reapproximate the myometrium following myomectomy.

Surgical Strategy for Tackling Cervical Myoma

Apr 15, 2019 | 191 Views

Jonathon Solnik, Ari Sanders

This video outlines tips and tricks for the management of cervical myomas utilizing three case examples.

Proximal Uterine Artery Ligation: Navigating Anatomical Distortion of Large Fibroids During Hysterectomy

Apr 15, 2019 | 213 Views

Wilson Chan, Chandrew Rajakumar

This video outlines a technique for performing ligation of the proximal uterine arteries. This is a technique that can be used to mitigate blood loss during hysterectomy.

Laparoscopic Myomectomy Experience with Ulipristal Acetate

Apr 15, 2019 | 168 Views

Ally Murji

This video outlines one surgeon’s laparoscopic experience with ulipristal acetate at myomectomy.

Myosure Advantages

Apr 15, 2019 | 235 Views

Ally Murji

This video outlines advantages to the resection of intrauterine pathology using a hysteroscopic tissue removal system.

Vasopressin in Gynecological Procedures

Apr 15, 2019 | 201 Views

Tina Ngan, Jessica Papillon-Smith, Jonathon Solnik, Ally Murji

Vasopressin administration can be an effective method of reducing blood loss during gynecological procedures. This video outlines the physiology of vasopressin and clinical scenarios in which its administration can help mitigate blood loss.

Approach to Minimizing Bleeding at Multiple Myomectomy

Jul 5, 2019 | 240 Views

Fady Shehata, Chandrew Rajakumar, Sukhbir Sony Singh

This video presents perioperative and intraoperative techniques to minimize bleeding at multiple myomectomy by laparotomy.

Inbag Contained Morcellation: The New Era in MIGS

Jul 5, 2019 | 178 Views

Emilie Gorak Savard

This video demonstrates a technique for contained power morcellation in a bag during TLH for symptomatic fibroids. It also highlights tips and tricks to make the procedure easier.

Radiofrequency Ablation of Symptomatic Uterine Fibroids: The Acessa Procedure

Jul 5, 2019 | 193 Views

David J. Levine

This video outlines the approach to radiofrequency ablation of uterine fibroids through the Acessa Procedure

Approach to the Difficult Laparoscopic Hysterectomy: Enlarged Uterus

Jul 8, 2019 | 326 Views

Neeraj Mehra, Sukhbir Sony Singh

This video outlines tips and tricks to help navigate an enlarged uterus at the time of laparoscopic hysterectomy.

In Bag Morcellation

Jul 8, 2019 | 352 Views

Sukhbir Sony Singh

This video demonstrates a step-wise approach to in bag mechanical morcellation.

Novel Technique for Hemostasis at Laparoscopic Myomectomy: Tourniquet Application

Jul 12, 2019 | 228 Views

Katie Phillips, Caitlin Dunne, Neeraj Mehra

This video demonstrates a novel in which a tourniquet is applied during laparoscopic myomectomy to achieve hemostasis.

Intrauterine Morcellation at Laparoscopic Myomectomy

Sep 24, 2020 | 35 Views

Meghan O'Leary, Liane Belland

In this video, we present an approach to previously described suprapubic laparoscopic-assisted myomectomy that we feel mitigates some of the disadvantages of traditional myomectomy - increased operative time, increased blood loss and surgical expertise in laparoscopic suturing. Using footage from our own procedures of this kind, we propose a method by which a fibroid is just partially dissected free of the myometrium, is tagged with a unique suture and morcellated while still within the myometrium.

Laparoscopic Cervical Myomectomy with Pre-operative Uterine Artery Embolization and Concomitant Cerclage

Sep 24, 2020 | 22 Views

Vanille Simon, Marie-Eve Bergeron, Philippe Laberge, Sarah Maheux-Lacroix

Cervical myomectomy is a surgical challenge and the risk of subsequent cervical incompetence is unknown. We presented the case of a 30-year-old woman, nulligravida, with a 12 cm cervical leiomyoma, who consulted for heavy menstrual bleeding and pelvic pain. After failure of multiple medical therapies, a laparoscopic cervical myomectomy was successfully performed. Adjuvant pre-operative uterine artery embolization with gelatin sponges was used to reduce surgical blood loss, as an alternative to intra-operative ligation of uterine arteries when access to the retroperitoneum is limited by the size and location of leiomyomas. In order to prevent cervical incompetence, a concomitant laparoscopic cerclage was achieved since the integrity of the cervix has been compromised by the myomectomy.