Apr 15, 2019 | 354 Views
This video presents the laparoscopic management of a large cervical fibroid through subtotal hysterectomy. If highlights the importance of access, visualization, anatomy, and hemostasis
Apr 15, 2019 | 215 Views
This video highlights the use of the STRATAFIX Symmetric PDS Plus Knotless Tissue Control Device is used to reapproximate the myometrium following myomectomy.
Apr 15, 2019 | 292 Views
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.
Apr 15, 2019 | 367 Views
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.
Jul 5, 2019 | 346 Views
This video presents perioperative and intraoperative techniques to minimize bleeding at multiple myomectomy by laparotomy.
Jul 5, 2019 | 288 Views
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.
Jul 5, 2019 | 301 Views
This video outlines the approach to radiofrequency ablation of uterine fibroids through the Acessa Procedure
Jul 8, 2019 | 447 Views
This video outlines tips and tricks to help navigate an enlarged uterus at the time of laparoscopic hysterectomy.
Jul 12, 2019 | 341 Views
This video demonstrates a novel in which a tourniquet is applied during laparoscopic myomectomy to achieve hemostasis.
Sep 24, 2020 | 241 Views
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.
Sep 24, 2020 | 120 Views
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.