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Total laparoscopic versus laparoscopic supracervical hysterectomy

It gives me great pleasure to introduce this month’s surgical video. The following feature presentation was produced by my third-year fellow, Mireille Truong, MD, and my third-year resident, Sarah Horvath, MD. The focus of this surgical video is to compare and contrast total laparoscopic hysterectomy (TLH) with laparoscopic supracervical hysterectomy (LSH). The indication for the TLH case was refractory dysmenorrhea and for the LSH case was as part of a concomitant sacrocervicopexy. The particular methods for specimen removal demonstrated include through the colpotomy for TLH and cold knife manual morcellation within a bag using an Alexis retractor for LSH. 

The objectives of this surgical video are to:

  • Highlight the clinical advantages and disadvantages between cervical removal or retention at the time of a minimally invasive laparoscopic hysterectomy
  • Demonstrate the surgical nuances between TLH and LSH
  • Provide a potential resource for patient counseling as well as medical student and resident education.

I encourage you to share this video as an educational resource with your colleagues, residents, students, and patients alike.

 

Vidyard Video

 

 

I hope to see you at the AAGL Global Congress on Minimally Invasive Gynecology in Vancouver, November 17–21, 2014. Visit www.aagl.org/globalcongress for more information.
  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair
 

Share your thoughts on this video! Send your Letter to the Editor to [email protected]. Please include your name and the city and state in which you practice.

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Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Horvath is PGY-3 Resident, Department of Obstetrics and Gynecology, Columbia University Medical Center. 

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, Cooper Surgical, Intuitive Surgical, and Surgiquest and receiving royalties from Cooper Surgical. The other authors report no financial relationships relevant to this article.

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OBG Management - 26(10)
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60
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laparoscopic hysterectomy,TLH,Sarah Horvath MD,laparoscopic supracervical hysterectomy,LSH,sacrocervicopexy,colpotomy,cold knife manual morcellation,Alexis retractor,Arnold Advincula MD,Mireille D. Truong MD,
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Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Horvath is PGY-3 Resident, Department of Obstetrics and Gynecology, Columbia University Medical Center. 

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, Cooper Surgical, Intuitive Surgical, and Surgiquest and receiving royalties from Cooper Surgical. The other authors report no financial relationships relevant to this article.

Author and Disclosure Information

Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Horvath is PGY-3 Resident, Department of Obstetrics and Gynecology, Columbia University Medical Center. 

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Advincula reports being a consultant to Blue Endo, Cooper Surgical, Intuitive Surgical, and Surgiquest and receiving royalties from Cooper Surgical. The other authors report no financial relationships relevant to this article.

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It gives me great pleasure to introduce this month’s surgical video. The following feature presentation was produced by my third-year fellow, Mireille Truong, MD, and my third-year resident, Sarah Horvath, MD. The focus of this surgical video is to compare and contrast total laparoscopic hysterectomy (TLH) with laparoscopic supracervical hysterectomy (LSH). The indication for the TLH case was refractory dysmenorrhea and for the LSH case was as part of a concomitant sacrocervicopexy. The particular methods for specimen removal demonstrated include through the colpotomy for TLH and cold knife manual morcellation within a bag using an Alexis retractor for LSH. 

The objectives of this surgical video are to:

  • Highlight the clinical advantages and disadvantages between cervical removal or retention at the time of a minimally invasive laparoscopic hysterectomy
  • Demonstrate the surgical nuances between TLH and LSH
  • Provide a potential resource for patient counseling as well as medical student and resident education.

I encourage you to share this video as an educational resource with your colleagues, residents, students, and patients alike.

 

Vidyard Video

 

 

I hope to see you at the AAGL Global Congress on Minimally Invasive Gynecology in Vancouver, November 17–21, 2014. Visit www.aagl.org/globalcongress for more information.
  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair
 

Share your thoughts on this video! Send your Letter to the Editor to [email protected]. Please include your name and the city and state in which you practice.

It gives me great pleasure to introduce this month’s surgical video. The following feature presentation was produced by my third-year fellow, Mireille Truong, MD, and my third-year resident, Sarah Horvath, MD. The focus of this surgical video is to compare and contrast total laparoscopic hysterectomy (TLH) with laparoscopic supracervical hysterectomy (LSH). The indication for the TLH case was refractory dysmenorrhea and for the LSH case was as part of a concomitant sacrocervicopexy. The particular methods for specimen removal demonstrated include through the colpotomy for TLH and cold knife manual morcellation within a bag using an Alexis retractor for LSH. 

The objectives of this surgical video are to:

  • Highlight the clinical advantages and disadvantages between cervical removal or retention at the time of a minimally invasive laparoscopic hysterectomy
  • Demonstrate the surgical nuances between TLH and LSH
  • Provide a potential resource for patient counseling as well as medical student and resident education.

I encourage you to share this video as an educational resource with your colleagues, residents, students, and patients alike.

 

Vidyard Video

 

 

I hope to see you at the AAGL Global Congress on Minimally Invasive Gynecology in Vancouver, November 17–21, 2014. Visit www.aagl.org/globalcongress for more information.
  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair
 

Share your thoughts on this video! Send your Letter to the Editor to [email protected]. Please include your name and the city and state in which you practice.

Issue
OBG Management - 26(10)
Issue
OBG Management - 26(10)
Page Number
60
Page Number
60
Publications
Publications
Topics
Article Type
Display Headline
Total laparoscopic versus laparoscopic supracervical hysterectomy
Display Headline
Total laparoscopic versus laparoscopic supracervical hysterectomy
Legacy Keywords
laparoscopic hysterectomy,TLH,Sarah Horvath MD,laparoscopic supracervical hysterectomy,LSH,sacrocervicopexy,colpotomy,cold knife manual morcellation,Alexis retractor,Arnold Advincula MD,Mireille D. Truong MD,
Legacy Keywords
laparoscopic hysterectomy,TLH,Sarah Horvath MD,laparoscopic supracervical hysterectomy,LSH,sacrocervicopexy,colpotomy,cold knife manual morcellation,Alexis retractor,Arnold Advincula MD,Mireille D. Truong MD,
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