Laparoscopic Myomectomy
Fig. 2.1 Sections of a magnetic resonance image of a patient with a large uterine fibroid desiring myomectomy. Ultrasound study in this patient could not delineate the endometrium Fig. 2.2…
Instrumentation, Platforms, and Basic Principles of Robotics
Component Function Surgeon console 3-D laparoscopic image projected from patient side cart camera Master controls to direct patient side cart instruments Foot pedal to adjust camera view Foot pedal (“clutch”)…
Laparoscopic Adnexal Surgery
Fig. 3.1 The first surgeon stands to the left of the patient, raised above a platform for proper ergonomics in order to reduce arm muscle fatigue 3.3 Placement of the…
Single-Port Laparoscopic Adnexal Surgery
Potential benefits Easier specimen extraction Easy conversion if cancer Better cosmesis Decreased pain Better exposure for fascial closure Potential drawbacks Difficult learning curve Instrument clashing Possible increased rupture risk Increased…
Techniques for Robotic Tubal Surgery
Fig. 21.1 The serosa is incised, and the stump is exposed Fig. 21.2 Scissors are used without energy to reveal the tubal lumen 21.5.2 Reapproximation of Mesosalpinx Often, the mesosalpinx…
Management of Laparoscopy-Related Complications
Fig. 22.1 Hasson or open entry technique 22.3 Vascular Complications Vascular injuries are one of the most serious and potentially catastrophic complications of minimally invasive gynecologic surgery. Fortunately, the incidence…
Techniques for Single-Port Urogynecology and Pelvic Reconstructive Surgery
Fig. 14.1 A sagittal view of the female pelvic floor. All measurements are taken with the vaginal orifice (hymen) as the midpoint with a value of 0. Points within the…
Robotic-Assisted Management of Endometriosis
Fig. 18.1 Powder burn lesions [1] Fig. 18.2 Endometriomas immediately prior to resection [1] 18.8 Surgical Management: Conservative Surgery In young patients who desire fertility, conservative surgery should be attempted….
Laparoscopic Excision of Endometriosis
Fig. 5.1 Revised classification of endometriosis by American Society for Reproductive Medicine. The localization and size of the endometriotic lesions are the main markers used to provide classification of the…
Techniques in Reproductive Surgery
Fig. 8.1 Transcervical tubal cannulation to assess for tubal patency 8.2.3 Distal Tubal Occlusion If preoperative HSG has confirmed a more distal tubal occlusion, a diagnostic laparoscopy can be the…
