Obstetrics and Gynecology video - Surgery Videos

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Obstetrics and Gynecology video - Surgery Videos



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B-Lynch surgery technique septate uterus

uterine anomalies which give abnormal presentations

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Cesarean Section Operation

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Corneal Ectopic pregnancy

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Ectopic Pregnancy Case Study - Part 1

This video details how bedside transvaginal ultrasound can help emergency medicine professionals
evaluate OB/GYN anatomy to diagnose possible ectopic pregnancies.

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Endometrial Biopsy of the Uterus

This 3D medical animation shows an endometrial biopsy of the uterus procedure, typically used to test
for endometriosis, precancerous cells or infertility problems. In the animation, a small pipelle
device is used to harvest tissue from the lining of the uterus

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Endometriotic cyst

Management of endometriotic cyst

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Excision of Transvaginal Mesh Extrusion

removal of mesh that eroded through the vaginal wall of a woman who had a cystocele repair

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Fertility-Sparing Robotic-Assisted Radical Trachelectomy and Bilateral Pelvic Lymphadenectomy in
Early Stage Cervical Cancer

Objective: To illustrate a case of robotic-assisted radical trachelectomy in a patient with invasive
adenocarcinoma of the cervix.
Methods: This 30-year-old, para-1 woman was diagnosed with adenocarcinoma in situ of the cervix in an
endocervical polyp when she presented without complaint to her postpartum visit. She was a nonsmoker
with no history of abnormal Pap smears. She subsequently underwent a cold knife conization that
revealed invasive adenocarcinoma of the cervix with lymphovascular invasion. Endocervical curettage
and endometrial biopsy were benign. Pelvic examination revealed a stage IB1 adenocarcinoma of the
cervix. All options for management were reviewed, and the patient expressed a strong desire for
fertility sparing surgery.
Results: She underwent a robotic-assisted radical trachelectomy and bilateral pelvic lymphadenectomy
to treat her early stage cervical cancer. A polyethylene cerclage was placed at the termination of
the procedure. Her estimated blood loss was 200cc, and she suffered no postoperative complications.
She resumed a normal menses 4 weeks postoperatively.
Conclusions: This represents the first case of a patient with early cervical adenocarcinoma managed
with robotic-assisted radical trachelectomy and pelvic lymphadenectomy. This technique combines the
advantage of open and laparoscopic procedures with a familiar anatomic approach, increased
magnification, and the superior dexterity of robotic surgery. We hope, with rapid acceptance of
robotic surgery in gynecologic oncology, robotic radical trachelectomy will make fertility sparing
options a more accessible option for select women with early stage cervical cancer who desire
fertility preservation.

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Fetal Alcohol Syndrome -- The Biological Basis / FAS FASD Video

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FETAL DEVELOPMENT WEEK BY WEEK

complete animated from fertilization to labor birth
excellent animation
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Fibroid Removal - Uterine Fibroid Embrolization Surgery

Embolization is a medical advance that shrinks uterine fibroids. One tiny incision allows us to solve
the problem quickly, safely and without surgery.

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Internal iliac vein injury during treatment of deep endometriosis

this video shows the laparoscopic management of internal iliac vein injury during treatment of deep endometriosis after using a ureteral "JJ" stent for protecting the left ureter

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Intrauterine Pathology

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Laparoscopic-Assisted Percutaneous Vaginal Tape Vault Suspension (Dramatic Health)

Dr. Raymond Rackley, Professor of Urology, Cleveland Clinic, describes his technique for repair of
pelvic organ prolapse surgery - The Laparoscopic-Assisted Percutaneous Vaginal Tape Vault Suspension:
Minimally-Invasive Prolapse Repair with Post-Hysterectomy and Uterine-Sparing Options. A
pneumoperitoneum is created and laparoscopy is performed. The vaginal cuff is dissected free. A
stamey needle faciliates tape (polypropylene) passage. The tape is secured to the cuff. The tape is
attached to the sacral promontory, completing the abdominal sacral colpopexy. The tape is
retroperitonealized.

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Laparoscopic Intraligamentous myomectomy

Intraligamentous and broad ligament fibroid are difficult to remove due to risk of injury to ureter
and uterine artery at the time of dissection. Following a thorough exposure of ureter and vessels and
depending on the location of Myoma, an incision is made on the anterior or posterior leaf of the
broad ligament and the leiomyomas is slowly shelled same as other subserosal or intramural fibroid.
Throughout the procedure the location of the ureter is monitored, bleeding points are controlled by
bipolar. The broad ligament and peritoneum are not closed in cases of broad ligament Myoma. If post
operative bleeding is suspected, a drain should be left.

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Laparoscopic Laser Excision of Endometriosis

The CO2 laser was first used in Gynecology over 20 years ago. From the beginning it proved to be a
powerful instrument for treating a number of diseases using the laparoscopic approach. Advances in
technical design and
clinical technique have improved precision and minimized thermal damage. These make it possible to
treat otherwise inoperable endometriosis patients and to shorten surgical interventions. Recent
studies show that this leads to
less adhesion formation and a high success rate. Colposcopic interventions can also be performed
swiftly and precisely in a hospital or office setting.

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Laparoscopic Myomectomy

Classic sequence of surgical techniques used to perform laparoscopic myomectomy (LM) with the
Harmonic Scalpel. In this case, a large intracavitary (submucous) myoma (fibroid) is ultimately
delivered.

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Vaginal Surgery - Laparoscopic Paravaginal Repair with Burch (Cystocele Repair)

demonstrate Laparoscopic Paravaginal plus Burch Urethropexy. This surgical procedure is recommended
for patients with cystocele (due to paravaginal defects) and stress urinary incontinence. The
paravaginal repair is performed between the apex (highest point) of the anterior vaginal wall and the
"bladder neck" (urethra meets the bladder) this part of the surgery corrects the cystocele (bladder
drop). The Burch urethropexy is performed to stabilize and support the urethra.

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laparoscopic radical hysterectomy for carcinoma cervix

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Laparoscopically Assisted Vaginal Hysterectomy

A combination of 5 different cases of LAVH, presented at an International Conference, Japan in 2003.
The emphasize is over the innovative technique being used for the procedure in different indications

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ligation of uterine artery before laparoscopic myomectomy

Performing ligation of uterine artery before laparoscopic myomectomy has several advantages. Firstly
it reduces bleeding during the surgery. Secondly, it will shrink small fibroids that were missed
during the surgery and lastly it may prevent recurrance of new fibroids.

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Lower Tract Gynecology Procedures


As more gynecological procedures move to endoscopic or laparoscopic surgery, the use of lasers
continues to increase. Lumenis has kept pace with this expanding field by cooperating with endoscope,
microscope and colposcope manufacturers to ensure that gynecologists have access to the most advanced
and compatible surgical lasers available.

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Total Laparoscopic hysterectomy

In this case the vagina was opened anteriorly and poseriorly early in the procedure after dissecting
the bladder off. This aproach helps in elevating the uterus away from pelvic side walls (ureters) and
in finding a predefined target point for the transecton of uper uterine pedicles. An omental biopsy
was taken too ( seen at end when delivering uterus through vagina)

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Management of ovarian cyst in pregnancy video

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Mature teratoma excision

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Ovarian Dermoid Cyst resection-laparoscopic

A 7 cm benign right ovarian dermoid cyst (teratoma) is removed with some leak. Notice the sebaceous
material that came out of the cyst . A few hairs came into view too. Thorough irrigation to wash out
leaked substance is important .

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Ovarian Torsion

This is a video about a patient who had a previous diagnosis of an ovarian cyst. We initiated hormonal therapy to eliminate it but suddenly she began with acute abdominal pain, in the color doppler evaluation of the ovary the blood flow is absent, so we performed a laparoscopic ooforectomy.

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pembedahan laparoscopy endometriosis

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Primary Pelvic Floor Repair with Laparoscopic Supracervical Hysterectomy

Laparoscopic Supracervical Hysterectomy (LSH) is a common advanced laparoscopic procedure offered as
treatment for a number of gynecologic problems. Ideas vary among surgeons regarding optimal closing
techniques of the cervix and pelvic floor. Many advocate no closure at all. Another consideration
with LSH is adjunctive treatment of uterine prolapse either identified preoperatively, or noted with
hypermobility in the post-LSH cervix at surgery.
In this video, I am demonstrating a technique for primary cervix and pelvic floor closure. In
addition, I show a simple technique of uterosacral reattachment or plication for support of the
residual post-LSH cervix and vaginal vault. This can be done with or without robotic technique. It
can be done with total hysterectomy as well. This video uses the daVinci-S robotic technology with
the advantages of improved instrument dexterity and visualization. I use sharp dissection and
intermittent pulsed radio-surgical desiccation.
The purpose primary pelvic floor repair and uterosacral plication is to enhance apical pelvic floor
support, increase or maintain vaginal length and provide peritoneal closure for reduced adhesions.
After over 150 cases, my experience has been very favorable outcomes and no major complications. A
few patients have been evaluated with repeat laparoscopic procedures by the author and no significant
adhesions have been noted. Favorable post-op objective and subjective findings regarding pain,
bladder, bowel and ***ual function are comparable to other laparoscopic procedures. Uterosacral
plication or reattachment adds a measurable improvement in post LSH vaginal length and apical
support. Most importantly, patient satisfaction scores are high with this procedure.

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Single Incision Laparoscopic Surgery/ SILS/ SPA/ LESS: LAVH

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Transobturator Sling - TOT Sling Vaginal Surgery

During the tot sling procedure, very small incisions are placed in the groins (one on each side) and
the same small incision is made in the vagina under the urethra, allowing the mesh tape to be placed
under the urethra in the correct position without having to pass needles blindly through the
retropubic space and the abdominal wall.

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Tubal reanastomosis for the woman who has her tubes ligated for permanent contaception

Minimally invasive microscopic tubal reanastomosis enables one to resume her own pregnancy rate. Our
experience of 944 cases of tubal reanastomosis showed a success rate of 100% of tubal reconstruction
and 90% of high pregnancy rate. This video was presented at 34th AAGL Annual Meeting (Global Congress
of Minimally Invasive Gynecology).

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Understanding Uterine Fibroids

Fibroids are non-cancerous growths that develop in the uterus, effecting as many as 30 percent of
women.

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Unroofing of the ureter during radical hysterectomy

this video shows the technique for unroofing of the ureter in the cardinal ligament , most important
step during radical hysterectomy for cervical cancer

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Vaginal Childbirth (Birth) 3D Video Animation

Unroofing of the ureter during radical hysterectomy

this video shows the technique for unroofing of the ureter in the cardinal ligament , most important
step during radical hysterectomy for cervical cancer

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