HYSTEROSCOPIC SURGERY

Uterine  Local Anesthesia for Hysteroscopy

Virtually any hysteroscopic surgical procedure can be performed under local anesthesia in an appropriately equipped office procedure. This is the local anesthetic technique reported by Dr Munro in 2014. Not included in this video is demonstration of the "fundal block" that may well be necessary for transactional procedures high in the fundus where T10 typically contributes innervation.

Type 2 Hysteroscopic Myomectomy:

Performed In Office Under Local Anesthesia

Background for this video is also provided in the section on Hysteroscopic Surgery. This is a FIGO Type 2 leiomyoma. The entire procedure was performed under local anesthesia. You will see how entering the pseudo capsule results in partial "release" of the leiomyoma that is further enhanced by sharp and blunt dissection with scissors. An electromechanical morcellator is used to remove the tumor. The patient drove herself home immediately following the completion of the procedure.

LAPAROSCOPIC VAGINAL CUFF CLOSURE

Three Port Technique - Midline - Ipsilateral - Laparoscopic Vaginal Cuff Closure

This video created by Dr Andre Petrikovits shows a three-port technique for vaginal cuff closure using a midline suprapubic and ipsilateral lower quadrant technique.

Minilaparotomic Morcellation Technique

PROTECTING THE URETER

Ureteral Stenting Pre and Intraoperatively

Drs Andre Petrikovits and  Zhina Sadeghi demonstrate techniques for stenting the ureters preoperatively or intraoperatively and also show retrograde pyelography.