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…
Techniques for Single-Port Gynecologic Oncology
Adnexa Retrieval of ovarian tissue for freezing before any type of RT and/or CT in young cancer patients Ovarian suspension before pelvic radiation for cervical cancer RRSO Conservative and not…
Instrumentation for Single-Site Gynecologic Surgery
Fig. 9.1 Covidien SILS Port 9.2.1.2 The QuadPort + (Olympus America; Center Valley, PA) This port accommodates a 2–6-cm skin and fascial incision. The adjustable sleeve accommodates an abdominal wall up to…
Techniques in Urogynecology and Pelvic Reconstructive Surgery
Fig. 7.1 Laparoscopic trocar placement. Trocar placement plays a key role in facilitating laparoscopic procedures performed for pelvic prolapse and incontinence. Proper positioning of each trocar allows reach of the…
Single-Site Robotics
Fig. 23.1 From left to right: two long curved laparoscope cannulae, 300 mm; long flexible obturator; two short curved cannulae, 250 mm; short flexible obturator; assistant cannula, 5 mm; assistant…
