Hysteroscopic Experience with Ulipristal Acetate

Apr 15, 2019 | 202 Views

Ally Murji

This video outlines one surgeon's hysteroscopic experience with ulipristal acetate

Surgical Repair of Isthmocele

Apr 15, 2019 | 191 Views

Ally Murji, Karen Glass, Nicholas Leyland

This video presents a case of cesarean scar isthmocele and its laparoscopic repair.

Laparoscopic Myomectomy

Apr 15, 2019 | 216 Views

Ally Murji, Nicholas Leyland

This video outlines technical tips for performing laparoscopic myomectomy.

Intraoperative Strategies to Minimize Blood Loss During Myomectomy

Sep 27, 2019 | 229 Views

Alysha Nensi, Deborah Robertson

Myomectomy is a common procedure performed by gynecologists for the conservative management of leiomyomas (fibroids). The surgical removal of fibroids can be associated with significant intraoperative blood loss and subsequent blood transfusion, which is an important morbidity associated with this elective procedure in reproductive-aged women. This video demonstrates various evidence-based strategies aimed at minimizing surgical bleeding during myomectomy. Techniques covered in this presentation include: (1) Preoperative use of medications such as vaginal/rectal misoprostal and intravenous tranexamic acid, (2) Intramyometrial injection of dilute vasopressin and (3) Temporary uterine artery occlusion with pericervical tourniquet. We demonstrate how these techniques can be used to minimize blood loss during abdominal, laparoscopic and robotic myomectomy.