VIDEO SESSION 11: Uterine-Sparing Surgery for Fibroids and Adenomyosis: Excision, Ablation, and Reconstruction

Monday, November 16, 2026
3:30 pm - 4:45 pm

Room: RM311

Faculty: Anne Bocage, Xishi Liu, Suyash Naval, Stephanie M. Asdell, Gianmarco D'Ancona, Maya Shats, Malak El Sabeh, Zenobia Ofori-Dankwa

Description: This session focuses on preserving the uterus while treating fibroids and adenomyosis through laparoscopic, robotic, natural-orifice, and ablative approaches. Videos highlight vascular control, incision planning, dissection near the ureter, reconstruction, and long-term symptom control.

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

1. Choose an operative approach based on lesion location and reproductive goals.
2. Use blood-conserving and vascular-control strategies during myometrial surgery.
3. Plan uterine incisions and reconstruction to optimize safety and efficiency.
4. Compare excisional, ablative, robotic, laparoscopic, and natural-orifice options.

Course Outline

3:30 PM Welcome, Introduction and Course Overview

3:32 PM Surgical Approach to a Fibroid With Parasitic Blood Supply to the Anterior Abdominal Wall

A. Bocage, M. Hotz, P. Teefey

3:38 PM Adenomyomectomy Without Post-Operative Medication for Symptomatic Adenomyosis: A Four-Year Follow-Up Study

X. Liu

3:44 PM Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) for Fibroid Removal

S. Naval, P. Serra

3:50 PM Implementation of Routine Temporary Uterine Artery Occlusion in Robotic Myomectomy Practice

S. Asdell, R. Cockrum

3:56 PM Uterine and Fertility-Sparing Treatment of Adenomyosis With Radiofrequency Thermal Ablation (RFTA)

G. D'Ancona, S. Baggio, A. Stepniewska, M. Manzone, C. Zorzi, M. Albanese, G. Roviglione, M. Ceccaroni

4:02 PM Individualized Approach to Adenomyomectomy

M. Shats, C. Liao, O. Ezike, R. Schneyer, M. Siedhoff, K. Hamilton

4:08 PM Cervical Myomectomy With Ureteral Involvement

M. El Sabeh, L. Chohan, J. Nijjar

4:14 PM Incision Decision: Strategies for Optimizing Surgical Approach During Robotic-Assisted Laparoscopic Myomectomy

Z. Ofori-Dankwa, C. Shadowen, H. Palin, L. Siewertsz van Reesema, J. Hudgens, J. Woo

4:20 PM Discussion Questions & Answers

4:45 PM Adjourn