This course will provide an overview of laparoscopic benign hysterectomy technique as a whole: From first access to cuff closure. First, we will show the anatomical considerations and critical pelvic anatomy when performing this surgery. Then how to access the peritoneal cavity and how to place our trocars. We will share some tricks on how to modify traditional trocar positioning depending on uterine size. We will discuss the usefulness of uterine manipulators. We will present a standardized technique and discuss the rationale of utilizing advanced energy devices. Surgical technique description finishes with different ways to perform a vaginal cuff closure and before the end, we will show different ways to deal with some intraoperative complications.

Learning Objectives: At the end of this course, the participant will be able to:1) Identify anatomical landmarks involved in benign hysterectomy technique; 2) Apply a systematic approach to benign hysterectomy performance from the first access to vaginal cuff closure; and 3) Apply specific techniques to deal with common intraoperative complications.

PRESENTATION SCHEDULE

9:45 Welcome, Introduction and Course Overview

9:50 Critical Anatomy in Laparoscopic Benign Hysterectomy
L.F.C. Fernandes
10:05 First Access Techniques / Trocar Placement and Modifications in a Big Uterus
J. Albornoz
10:20 Uterine Manipulators: Are They Necessary?
H. Abrao
10:30 Is It Necessary to Use Advanced Energy Devices?
J. Albornoz
10:40 How to Start? What to Look for? What to Move? Standardized Laparoscopic Hysterectomy Technique
J.R. Escalona
11:00 Vaginal Cuff Closure
J.F. De los Rios
11:10 Dealing with Intraoperative Complications
J. Villegas-Echeverri
11:25 Intestinal Complications
A. Menocal Tavernier Sr.
11:35 Hemorrhagic Complications
L.F. Garcia Rodriguez
11:55 Urinary Complications
A. Menocal Tavernier Sr.
12:05 Questions & Answers

12:14 Adjourn