What keeps you up the night before (or the night after) a difficult vaginal surgery? Getting adequate exposure? Challenging anterior or posterior entries? Operating high in the pelvis? Vaginal morcellation? Come learn some tips, tricks, pearls and pitfalls to set yourself up for success and stay out of trouble. Surgeons are only human, and our subjects are imperfect too, so we will also discuss how to regain hemostasis when things go awry and how to repair injuries vaginally when the inevitable happens.

Learning Objectives: After attending this session, the participant will be able to: 1) Recognize anatomic landmarks and employ techniques to avoid inadvertent transvaginal injuries; 2) Utilize available resources to facilitate safe vaginal surgical practice (ICG, LAVH, Morcellation); and 3) Optimize your toolkit for vaginal hemostasis.

Presentations:
Welcome, Introduction and Course Overview

Getting Exposure: Optimizing Your Setup and Assistants
Lauren Siff, MD, Central Virginia VA Health Care System, Richmond, VA

Difficult Anterior and Posterior Entries
Audra J. Hill, MD, University of Utah, Salt Lake City, UT

Adnexectomy: Tips and Tricks to Operating Above the Mid-Vagina
Lisa C. Hickman, MD, Ohio State University Wexner Medical Center, Columbus, OH

Identifying the Ureter
Nutan Jain, MD, Vardhman Trauma and Laparoscopy Centre Pvt.Ltd., Muzaffarnagar, India

The LAVH: Using Laparoscopy to Help You Out
Tanaz Ferzandi, MD, MBA, University of Southern California, Los Angeles, CA

Vaginal Morcellation (In a Bag or Out: Coring, Wedging or Myomectomy, Oh My!)
Amy J. Park, MD, Cleveland Clinic, Cleveland, OH

It Happens, How to Fix It: Gaining Hemostasis in the Vagina: Taming the Blood Loss with Excision of Cysts, Glands, Flaps, and Prolapse Repairs
Soorena Fatehchehr, MD, MSc, FACOG, University of California Los Angeles, Marina Del Rey, CA

It Happens, How to Fix It: Managing Injuries Vaginally
Luiz G. Oliveira Brito, MD, MSc, PhD, University of Campinas/CAISM, Campinas, Brazil

Discussion - Questions & Answers - All Faculty

Adjourn