2025 AUGS Clinical Meeting-I Can’t Get In! Navigating Difficult Abdominal Entry

Video Transcription

Video Summary

Dr. Karen King, section head of the minimally invasive gynecologic surgery at Cleveland Clinic, discusses techniques for difficult peritoneal access in minimally invasive gynecologic surgery. The presentation emphasizes the importance of preoperative planning and understanding patient history, particularly with patients having complex surgical histories, increased BMI, or anatomical variations. She reviews various abdominal entry techniques including Open Hassan, VAERS, and DirectOptical, and stresses the significance of consistently using a method one is comfortable with while having alternative techniques ready if needed. Dr. King highlights the relevance of familiarity with anatomical landmarks and considerations for patients with obesity. She also mentions alternative entry points and techniques, such as using Palmer’s Point, Jane's Point, and possibly transuterine abdominal entry in challenging cases. Emphasis is placed on preoperative assessment and coherent surgical practice for optimal outcomes.

Asset Subtitle

Learn the best tips and tricks for gaining peritoneal entry from one of our top MIGS colleagues.

Speaker - Cara King, MD

Keywords

minimally invasive gynecologic surgery

peritoneal access techniques

preoperative planning

abdominal entry methods

anatomical variations

alternative entry points