Additional videos from SGS are available here, including these recent offerings:
A stepwise approach to the difficult bladder flap to prevent urinary tract injury during laparoscopic hysterectomy
Dr. Foley is Minimally Invasive Gynecologic Surgery Fellow, Magee Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Dr. Donnellan is Assistant Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Magee Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
The authors report no financial relationships relevant to this video.
Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate the surgical techniques necessary to develop a bladder flap during a total laparoscopic hysterectomy when scar tissue from prior surgeries exists. The video highlights key steps in identifying the endopelvic fascia laterally at the level of the uterine arteries to develop a virgin tissue plane, which can be dissected medially toward the scarred area. Utilization of this strategy helps the surgeon restore normal anatomy and prevent urinary tract injuries during total laparoscopic hysterectomy.