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Details

Name
11826 - Tips and Tricks for Minimally Invasive Hysterectomy for the Large Uterus
Presenting Author
Shirley Dong
Affiliation
The Ohio State University Wexner Medical Center
Abstract
Study Objective:

­­­­­­­­­­This video will discuss tips and tricks for tackling minimally invasive hysterectomy for the large uterus.

Design: This video includes a variety of different surgeries performed at our institution which highlight numerous techniques to assist with hysterectomy of the anatomically enlarged uteri.

Setting: All examples highlighted in this video were patients undergoing hysterectomies at our institution. Patient were all positioned in dorsal lithotomy position and surgeries were performed with the assistance of the DaVinci robot.

Patients or Participants: During the pre-operative consent process, all patients gave written consent for their surgeries to be recorded and used for educational purposes.

Interventions: No interventions were performed for the purposes of this video.

Measurements and Main Results: No specific aims or measurements were collected for the purposes of this video.

Conclusion:

Performing minimally invasive hysterectomy for the enlarged uterus is technically feasible. Optimize your operative set up to provide the visualization required to identify distorted anatomy. Use careful surgical technique to dissect and skeletonize critical structures while maintaining hemostasis. The case may not be able to be performed in the typical sequential fashion of an uncomplicated hysterectomy. If forward progress is halted or there is poor visualization on one side, consider proceeding to the contralateral side Take the steps that present themselves and bit by bit, the hard steps will become easier.
Authors

Dong, S*, Misal, M. Obstetrics and Gynecology, The Ohio State University Wexner Medical Center, Columbus, OH

Primary Category
Robotics
Secondary Category
Fibroids
Sponsorship Level
Virtual Poster
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11826 - Tips and Tricks for Minimally Invasive Hysterectomy for the Large Uterus
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