VIDEO SESSION 8: Complex Pelvic Access and Specimen Management: Hysterectomy, Extraction, and Advanced Approaches

Monday, November 16, 2026
11:35 am - 12:35 pm

Room: RM311

Faculty: Ricardo M.A. Pereira, Santhosh P, Chang Liu, Julia M. Moyett, Jose Garza Leal, Monica N. Allen, Samara Sabur

Description: This session addresses situations in which anatomy, pathology, body habitus, or specimen size makes access and extraction unusually difficult. Videos demonstrate preoperative modeling, single-site and extraperitoneal access, complex hysterectomy, rare pelvic masses, tissue containment, and efficient management of large uteri.

Learning Objectives: At the end of this course, the participant will be able to:

1. Match access and extraction strategies to anatomy and specimen characteristics.
2. Apply containment and transvaginal extraction principles safely.
3. Recognize when extraperitoneal, single-site, or alternative approaches add value.
4. Improve efficiency during complex hysterectomy and large-uterus surgery.

Course Outline

11:35 AM Welcome, Introduction and Course Overview

11:40 AM Opportunistic Ovarian Tissue Harvesting during Endometriosis Surgery: Fertility Preservation and Menopause Delay

R. Pereira, R. Pereira, R. Lima, C. Lima, P. Hassun, G. Bedoschi, M. Vargas

11:46 AM Laparoscopic Total Pelvic Exenteration for Recurrent Vaginal Vault Adenocarcinoma With Vesico Vaginal & Recto Vaginal Fistula

S. P, A. Puntambekar, D. Patil, S. Sampath

11:52 AM The Transumbilical Laparoendoscopic Single-Site Extraperitoneal Approach for Para-Aortic Lymphadenectomy

C. Liu, H. Guo, X. Lyu, W. Huang

11:58 AM Ectopic Hepatic Ovary Associated With a Unicornuate Uterus

J. Moyett, C. Min, J. Lauer

12:04 PM Evaluation of the Claria System for Transvaginal Tissue Extraction During Hysterectomy: A Clinical Usability Study for FDA Authorization

J. Garza Leal, L. Castillo, O. Hernandez-Barboza, E. Aguayo

12:10 PM Navigating the Broad Ligament: Robotic Hysterectomy for a Large Fibroid

M. Allen, J. Tinglin-Harper, J. Kim

12:16 PM Preoperative 3D Modeling to Simulate Contained Morcellation Feasibility

S. Sabur, S. Jaber

12:22 PM Discussion Questions & Answers

12:35 PM Adjourn