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…
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…
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…
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…
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….
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…
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…
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…
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…
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…
