AAGL 2015 Live Telesurgery – “Complex Laparoscopic Total Hysterectomy in the Setting of Multiple Prior Surgeries for Endometriosis” with Nicholas Leyland, M.D.
COURSE DESCRIPTION: This course provides a live surgical demonstration of a total hysterectomy and BSO (TLH BSO). This technique holds the advantage of eliciting a reduced level of wound pain compared with conventional laparoscopy, with better cosmetic results. This course will demonstrate the technique of TLH BSO, ureterolysis, and ureteric stent placement, discuss appropriate candidates for this procedure, and show tips and tricks to overcome the difficulties related to prior surgical interventions, pelvic adhesions and anatomic distortion.
LEARNING OBJECTIVES: At the conclusion of this course, the participant will be able to: 1) Develop a retroperitoneal anatomic strategy to manage hysterectomy in the setting of multiple prior conservative surgeries for endometriosis; 2) recognize the value of lighted ureteric stents in this surgical scenario; and 3) understand a standardized stepped approach to the pelvic anatomic distortion typically found in endometriosis cases (cul de sac obliteration, deeply infiltrative endometriosis, adhesive disease).