Surgical Film Library-Special Considerations In Patients With History Of Prior Transplant

Special Considerations In Patients With History Of Prior Transplant

Video Transcription

Video Summary

Dr. Keri Langstroth, a gynecologic oncologist at Mayo Clinic, discusses hysterectomy considerations post-transplant, especially kidney and pancreas transplants. Key points include understanding transplant anatomy—the kidney usually lies in the iliac fossa with ureters in atypical courses—and anticipating adhesions depending on transplant approach. Immune suppression and patient comorbidities affect healing and infection risk. Preoperative imaging and operative notes are crucial for surgical planning. Sentinel node mapping may be challenging due to altered anatomy. Collaboration with transplant surgeons and techniques like ureteral stents or indocyanine green (ICG) aid safe surgery. Both open and minimally invasive hysterectomies are feasible with careful preparation.

Asset Subtitle

Carrie Langstraat, United States

Meta Tag

Procedure Type Pelvic surgery after transplants

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Pelvic surgery after transplants

hysterectomy post-transplant

kidney transplant anatomy

pancreas transplant considerations

immune suppression surgery risks

sentinel node mapping challenges