Vaginal surgery techniques were presented over traditional abdominal and laparoscopic approaches. Vaginal myomectomy and salpingectomy were discussed as feasible and safe alternatives for treating uterine fibroids and ectopic pregnancies respectively. Results showed vaginal procedures had shorter hospital stays, less blood loss, and similar outcomes to other approaches with no increased risks. Vaginal surgery was concluded to be a useful option for select cases.
Challenges & controversies in robotic myomectomyApollo Hospitals
Robotic surgery for gynecology is being performed since 2005. For myomectomy, it is a better technology since suturing of myoma bed is better with lower incidence of scar rupture. However, the morcellation for the myoma retrieval has to be done carefully in a bag, and pre-operative investigation should be done to exclude occult leiomyosarcoma.
Imaging of gossybioma (retained missed towel surgical spongs) Dr Ahmed EsawyAHMED ESAWY
Imaging of gossybioma dr ahmed esawy (retained missed towel surgical spongs)
include different cases for oral radiodiagnosis examination all over the world
CT /MRI Plain X ray images
ultrasound
post operative missed towel
post operative missed spongs
post operative missed cotton
33 year old mother of two children, presented herself with multiple myomata reaching the xiphistetnum with a main complaint of pressure symptoms and difficult breathing. She had a pfannenstiel scar for her two cesarean sections; last one was two years earlier. Laparotomy through pfannenstiel incision and muscle cutting was carried out. There was a 40x 40cm cauliflower broad ligament fibroid with the uterus just sitting on it. Successful myomectomy was carried out.
Challenges & controversies in robotic myomectomyApollo Hospitals
Robotic surgery for gynecology is being performed since 2005. For myomectomy, it is a better technology since suturing of myoma bed is better with lower incidence of scar rupture. However, the morcellation for the myoma retrieval has to be done carefully in a bag, and pre-operative investigation should be done to exclude occult leiomyosarcoma.
Imaging of gossybioma (retained missed towel surgical spongs) Dr Ahmed EsawyAHMED ESAWY
Imaging of gossybioma dr ahmed esawy (retained missed towel surgical spongs)
include different cases for oral radiodiagnosis examination all over the world
CT /MRI Plain X ray images
ultrasound
post operative missed towel
post operative missed spongs
post operative missed cotton
33 year old mother of two children, presented herself with multiple myomata reaching the xiphistetnum with a main complaint of pressure symptoms and difficult breathing. She had a pfannenstiel scar for her two cesarean sections; last one was two years earlier. Laparotomy through pfannenstiel incision and muscle cutting was carried out. There was a 40x 40cm cauliflower broad ligament fibroid with the uterus just sitting on it. Successful myomectomy was carried out.
Surgical Management of Cervical Cancer 11052023 FOGSI PAC LECTURE WEBINAR.pptxNiranjan Chavan
Cancer of the uterine cervix is the third most common gynecologic cancer diagnosis and cause of death among gynecologic cancers. Cervical cancer has lower incidence and mortality rates than uterine corpus and ovarian cancer, as well as many other cancer sites. However, in countries that do not have access to cervical cancer screening and prevention programs, cervical cancer remains a significant cause of cancer morbidity and mortality. This PPT intends to teach about surgical management of Ca Cervix.
O. Glehen - HIPEC in colorectal carcinomatosisGlehen
Pr Olivier Glehen presents HIPEC in colorectal carcinomatosis in Slovenia 2013. Présentation de la CHIP dans la carcinose péritonéale d'origine colorectale.
23. Vaginal myomectomy results 132 patients underwent vaginal myomectomy by anterior and/or posterior approach From December 1998 to June 1999 U.O Ob/Gyn H. Legnano- Milano Italy
24. VAGINAL MYOMECTOMY: RESULTS SURGICAL CHARACTERISTICS Median Operation time (min.) 90 (range 40-180) Median Blood loss (mL) 80 (range 20-350) Median number of fibroids removed per patients 2 (range 1-8) Cases of convertion rate* 4 (3 %) Number of hysterectomy 0 * Both due: two pelvic adhesion and two endometriosis
25. VAGINAL MYOMECTOMY: RESULTS POSTOPERATIVE CHARACTERISTICS Median Postoperative stay(days) 2 (range 1-3) Postoperative transfusion rate 0 Number of Patients with postoperative complications 0
26. VAGINAL MYOMECTOMY: RESULTS OBSTETRICS OUTCOME Number of patients with plan a pregnancy 30 (25%) Numebr of pregancy 15 (50%) Number of preterm delivery 0 Number of miscarriage 0 TC 15 (100%) Number of term delivery 15 (100%) Number of uterine rupture 0
27. RESULTS Symptoms resolved in all patients (100%) at 6 months follow-up.
43. VAGINAL SALPINGECTOMY AS SURGICAL TREATMENT FOR EXTRAUTERINE TUBAL PREGNANCY: A PILOT RANDOMIZED STUDY R. Carminati MD; R. Giannice MD, PhD; C. Patregnani MD , R. Bertozzi MD , G.Forloni MD , M. Fogliani MD . Unità Operativa Ginecologia-Ostetricia Ospedale Civile di Legnano Direttore Prof. Roberto Carminati
44.
45.
46.
47.
48. VAGINAL SALPINGECTOMY RESULTS CLINICAL CHARACTERISTICS ARM A ARM B (18 PTS) (12 PTS) salpingectomy LPS VAGINAL p Median years age (range) 30 ( 22-40) 32 ( 25-38) n.s. BMI> 30 10% 11%
49.
50. VAGINAL SALPINGECTOMY MORBIDITY ARM A ARM B (18 PTS) (12 PTS) salpingectomy LPS VAGINAL p Intraop. Transfusion - - n.s. Convertion rate - - n.s. Intraop. Complications - - n.s. Postop. Complications - - n.s.
51. VAGINAL SALPINGECTOMY CONCLUSION This series confirm that Vaginal salpingectomy seems a feasible and safe procedure, comparable with the laparoscopic approach in the treatment of extra-uterine tubal pregnancy.
![Focus Surgery 2010 Lanzhou China 28- 31 May 2010 ,[object Object],[object Object]](https://image.slidesharecdn.com/chirurgiavaginaleoltrelatradizionecarminati-101206111325-phpapp01/85/Chirurgia-vaginale-oltre-la-tradizione-1-320.jpg)
![[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)