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Virtual Poster Details

Name
10413 - When the Going Gets Tough: Tips and Tricks to Employ in the Challenging Laparoscopic Case
Presenting Author
Evan Austin
Affiliation
University of Arizona College of Medicine - Phoenix
Abstract
Study Objective: Minimally invasive surgery is a wonderful and increasingly first line option for many gynecologic conditions. However, it can often become challenging and inefficient when problems arise. When the going gets tough, it can be difficult to figure out what steps one should take, especially for physicians in training. The objective of this video is to demonstrate multiple tips and tricks surgeons can employ when approaching a challenging laparoscopic case.

Design: Surgical videos recorded from November 1, 2011 - March 30, 2023 and housed in our hospital's in house video library were reviewed.

Setting: All surgeries were performed at a large academic tertiary referral center.

Patients or Participants: 911 videos were reviewed.

Interventions: Screen recordings of videos demonstrating relevant tips or tricks were compiled into one review video.

Measurements and Main Results: Short clips of videos including the following were combined into one educational video: cleaning the camera, use of suction or irrigation, use of traction and counter-traction, use of Trendelenburg, utilizing another port, using a 30 degree laparoscopic camera, utilizing an endoscopic paddle retraction device, using an EEA sizer, use of temporary oophoropexy, use of indocyanine green, use of chromopertubation, use of a surgical glove for specimen extraction, use of suture to string together multiple specimens, and use of simultaneous hysteroscopy.

Conclusion: There are numerous strategies one can employ to return to a more desirable comfort level when performing a challenging laparoscopy. It is important for surgeons to have a wide and varied skill set to employ when approaching such challenging cases.

Authors

Austin, ET*. Obstetrics and Gynecology, University of Arizona College of Medicine - Phoenix, Phoenix, AZ, Norton, TJ. Obstetrics and Gynecology, University of Arizona College of Medicine, Phoenix, AZ, Mourad, J. Minimally Invasive Gynecologic Surgery, Banner University Medical Center, Phoenix, AZ

Primary Category
Laparoscopy
Secondary Category
Basic Science/Education
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