Javascript Required
Your browser must have Javascript enabled in order for our dynamic player to be embedded. Please turn on Javascript in your browser preferences and then refresh this page.
Your browser must have Javascript enabled in order for our dynamic player to be embedded. Please turn on Javascript in your browser preferences and then refresh this page.
Related Organizations
Preview:
Innovations in Gynecologic Surgery: Laparoscopic Retroperitoneal Hysterectomy
Unique approach offers an alternative to standard laparoscopic hysterectomy
On May, 6th at 6:00 pm EDT, join Dr. Paul J. MacKoul, Director of GYN Oncology at The George Washington University Hospital, for a webcast presentation of a laparoscopic retroperitoneal hysterectomy. Surgeons viewing the webcast will learn the advantages of this unique alternative approach to standard laparoscopic hysterectomy.
The laparoscopic retroperitoneal approach uses the technique of retroperitoneal dissection to partially develop the pararectal and paravesical spaces of the pelvic sidewall. Dissection of these spaces is quickly and easily performed, and allows for full identification of pelvic anatomy to include the ureter, uterine artery, large vessels, and bladder. Full knowledge of the anatomy and isolation of these structures results in far less bleeding, faster surgical time, and decreases complications dramatically.
Retroperitoneal dissection has been the standard approach for complex benign and malignant open procedures. In this webcast, surgeons will clearly see how retroperitoneal dissection techniques can be easily applied laparoscopically for removal of large uteri. Dr. MacKoul will use surgical video to demonstrate this approach, and will highlight important surgical milestones to include:
a. Identification of the ureter and the course of the ureter to bladder;
b. Identification and isolation of the bladder off the uterus and cervix;
c. Identification and ligation of the uterine artery within the retroperitoneal space;
d. Identification of the major vessels of the pelvis.
"The application of retroperitoneal dissection to GYN surgery of all types is a safer, faster, and superior approach to standard laparoscopic surgery", says Dr. MacKoul. "The reason for this is simple – the high risk anatomy of the pelvis is fully identified and isolated, thereby avoiding injury to the ureters and bladder, as well as to the large vessels of the pelvic sidewall. In addition, the uterine artery can be ligated at the level of the internal iliac artery, almost completely eliminating major blood loss during surgery."
Candidates for the laparoscopic retroperitoneal approach include extremely obese patients, those with multiple prior open procedures, patients with extremely large uteri, and those with complex benign conditions. "This is an extremely versatile and powerful technique," says Dr. MacKoul, "that can be used for the resection of severe endometriosis, large pelvic masses, ureterolysis, sacrocolpopexy, as well as for uterine and cervical malignancy."
Join Dr. MacKoul for this free OR-live webcast presentation of the laparoscopic retroperitoneal hysterectomy on May 6th, 2009, at 6:00 PM EDT. The webcast originates from The George Washington University Hospital in Washington, DC. An archive of the program will be available through this website following the presentation.
This presentation may include demonstration of the use of surgical devices; it is not intended to be used as a surgical training guide. Other surgeons may employ different techniques. Individual surgeon preference and experience, as well as patient needs, should always dictate variation in procedure steps. Before using any medical device, including those demonstrated or referenced in this presentation, review all relevant package inserts, with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device.
Physicians are not employees or agents of the George Washington University Hospital.
DSL08-1403.4 Ethicon Endo-Surgery, Inc. 2009
