Surgical Film Library-Uterine Cervix Excision By Vaginal Route Followed By Vnotes Approach To Abdominal Cavity: An Easier And Faster Alternative To Patients With Previous Subtotal Hysterectomy.

Uterine Cervix Excision By Vaginal Route Followed By Vnotes Approach To Abdominal Cavity: An Easier And Faster Alternative To Patients With Previous Subtotal Hysterectomy.

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Video Transcription

Video Summary

This video details a vaginal approach to uterine cavity removal in patients with previous subtotal hysterectomy, presenting it as a faster, easier alternative to laparoscopic or open surgery. Using the Vinod program, surgeons improve vaginal surgery skills, employing diluted adrenaline and ropivacaine for hydraulic dissection. Key steps include circular incision, white-finger dissection, opening the posterior peritoneum, and sealing uterosacral ligaments and blood pillars. The same advanced bipolar laparoscopic device is used vaginally and endoscopically. After specimen removal and vaginal gate insertion, further surgery like salpingectomy or omentectomy can proceed, tailored per patient needs.

Asset Subtitle

Levon Badiglian-Filho, Brazil

Meta Tag

Route Open

Skill Level Intermediate

Surgical Location Pelvis

Keywords

Open

Pelvis

Intermediate

vaginal hysterectomy

subtotal hysterectomy

Vinod program

hydraulic dissection

advanced bipolar laparoscopic device