Sunday, December 9, 2012

Obstetrics and Gynecology video - Surgery Videos






    B-Lynch Surgery technique septate uterus

    uterine anomalies which give abnormal presentations

    Enjoy the video

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    Cesarean Section Operation

    Enjoy the video


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    Corneal Ectopic pregnancy

    Enjoy the video

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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.

    Enjoy the video
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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

    Enjoy the video

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    Endometriotic cyst

    Management of endometriotic cyst

    Enjoy the video

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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

    Enjoy the video

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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.

    Enjoy the video

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

    Enjoy the video

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    FETAL DEVELOPMENT WEEK BY WEEK

    complete animated from fertilization to labor birth
    excellent animation
    Enjoy the video

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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.

    Enjoy the video

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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

    Enjoy the video


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    Intrauterine Pathology

    Enjoy the video

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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.

    Enjoy the video
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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.

    Enjoy the video


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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.

    Enjoy the video

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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.

    Enjoy the video

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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.

    Enjoy the video

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    laparoscopic radical hysterectomy for carcinoma cervix

    Enjoy the video


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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

    Enjoy the video


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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.

    Enjoy the video


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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.

    Enjoy the video


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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)

    Enjoy the video

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    Management of ovarian cyst in pregnancy video

    Enjoy the video

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    Mature teratoma excision

    Enjoy the video


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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 .

    Enjoy the video

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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.

    Enjoy the video

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    pembedahan laparoscopy endometriosis

    Enjoy the video

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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.

    Enjoy the video

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

    Enjoy the video


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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.

    Enjoy the video

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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).

    Enjoy the video

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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.

    Enjoy the video

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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

    Enjoy the video

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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

    Enjoy the video

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