IGCS Ramadan Nights-Session #1

Video Transcription

Video Summary

The first IGCS “Ramadan Nights” session launched a four-part online gynecology education series. After housekeeping notes (recording available on IGCS Education 360; microphones muted; questions via chat/hand-raise), the program featured a surgical film and a journal discussion.<br /><br />Dr. Khaled Gaballa presented laparoscopic uterine transposition for fertility preservation in young patients requiring pelvic radiotherapy, noting limited but growing global evidence and reported live births. He detailed a challenging case in an 18-year-old with pelvic bone sarcoma, emphasizing technical adaptations due to virginity (no uterine manipulator), careful preservation of uterine/ovarian blood supply, fixation of the uterus to the anterior abdominal wall, ovarian clipping for radiotherapy planning, and later uterine repositioning after delayed radiation. Postoperative assessment included ultrasound and MRI; ICG was not available. Counseling included consent for possible hysterectomy. The team reported six cases and highlighted the need for multicenter collaboration and prospective databases.<br /><br />The journal segment reviewed outcomes of rectosigmoid resection versus rectosigmoid wall stripping for superficial rectal involvement during advanced ovarian cancer cytoreduction. Discussion focused on reduced morbidity with stripping but stressed limitations: retrospective design, surgeon-selection bias, and insufficient oncologic follow-up to change practice. Participants emphasized patient selection, the primacy of complete macroscopic cytoreduction, and evaluating upper-abdominal disease before committing to pelvic resections.

Keywords

IGCS Ramadan Nights

online gynecology education series

laparoscopic uterine transposition

fertility preservation

pelvic radiotherapy

uterine repositioning

ovarian cancer cytoreduction

rectosigmoid resection

rectosigmoid wall stripping