Hysteroscopic Removal of Retained Intrauterine Devices in Pregnancy

Dec 11, 2018 | 705 Views

Ari Sanders, Barry Sanders

This video outlines the surgical steps in performing hysteroscopic removal of retained intrauterine devices (IUDs) in early pregnancy.

Hysteroscopic Removal of Retained Placental Tissue Alleviates Postpartum Hypertension

Apr 15, 2019 | 200 Views

Chandrew Rajakumar, Sukhbir Sony Singh, Karine Lortie

This video outlines a case of a 34-year-old women who underwent emergency cesarean section following the development of HELLP Syndrome. She subsequently was treated with hysteroscopic removal of retained placental tissue alleviated her postpartum hypertension.

Surgical Management of Cesarean Scar Pregnancy

Apr 15, 2019 | 159 Views

Lea Luketic, Mara Sobel, Ally Murji

An algorithm is presented for the surgical management of cesarean scar pregnancy.

A Purse-String Approach to Laparoscopic Cornuostomy for Interstitial Ectopic Pregnancy

Sep 24, 2020 | 27 Views

Meghan McGrattan, Wilson Chan, Ally Murji

An interstitial ectopic refers to the implantation of a pregnancy in the proximal fallopian tube where it passes through the myometrium. This type of ectopic offers a distinct surgical challenge, as they often present with rupture, and carry a significant risk of hemorrhage at time of resection. This video demonstrates a four-step approach to resection of interstitial ectopic pregnancies with a laparoscopic cornuostomy. This includes isolating the pregnancy by salpingectomy and ligation of the utero-ovarian ligament, ensuring hemostasis with a novel purse string suture around the pregnancy at its equatorial line and injection of vasopressin, resection using a linear incision, and a layered repair of the uterine defect. The purse-string suture is shown to be a useful tool in minimizing bleeding, and this sequential approach allows for interstitial ectopic pregnancies to be excised with a minimally invasive cornuostomy, even in cases of significant anatomical distortion.