Dr. Pacis is Fellow, Division of Minimally Invasive Gynecologic Surgery, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Dr. Advincula is Levine Family Professor of Women’s Health; Vice-Chair, Department of Obstetrics & Gynecology; Chief of Gynecology, Sloane Hospital for Women; and Medical Director, Simulation Center, Columbia University Medical Center. He serves on the OBG Management Board of Editors.
Dr. Pacis reports no financial relationships relevant to this article. Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, and Titan Medical.
A novel approach to tubal occlusion device removal
I am pleased to introduce this month’s video, from the Division of Minimally Invasive Gynecologic Surgery (MIGS) at Penn State. Dr. Michelle Pacis addresses an increasingly important topic to MIGS surgeons: removal of previously hysteroscopically placed tubal occlusion devices. These devices offer a permanent alterative to laparoscopic sterilization. If women require their removal, however, whether desired or because of complications, gynecologic surgeons must be familiar with the steps involved.
The following video was produced in order to demonstrate a reproducible technique for laparoscopic removal of a device for women requesting this procedure. Key objectives of the video include:
review of the techniques available to remove hysteroscopic tubal occlusion devices, as well as the contraindications and advantages/disadvantages of these approaches.
discuss recommended imaging and materials required for the technique described and tips for their use.
demonstrate salpingectomy and repair technique.
I hope that you find this month’s video helpful to your surgical practice.