AUGS/IUGA Scientific Meeting 2019-Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy with all 5mm Port Sites and a Novel Method of Uterine Extraction

Laparoscopic Supracervical Hysterectomy and Sacrocervicopexy with all 5mm Port Sites and a Novel Method of Uterine Extraction

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Video Transcription

Video Summary

In this video, the speaker discusses a technique for uterine extraction during supracervical hysterectomy with sacrocervicopexy that does not require uterine morcellation. The hysterectomy is performed using an advanced bipolar device, with four 5mm port sites. After the hysterectomy, a uterine manipulator is removed and a bipolar loop is used to amputate the uterine body from the cervix. The specimen is placed in the right upper quadrant and transcervical coring is performed to create an access port for the sacrocervicopexy. The video also shows how to perform placation sutures on the anterior vaginal wall and attach a mesh for sacrocervical pexy. The video concludes with the closure of the peritoneum over the mesh.

Asset Caption

William D Winkelman, MD

Keywords

uterine extraction

supracervical hysterectomy

sacrocervicopexy

uterine morcellation

advanced bipolar device