AUGS/IUGA Scientific Meeting 2019-Non-Puerperal Uterine Inversion Managed Robotically

Video Transcription

Video Summary

In this video, a case of non-preparal uterine inversion is presented, which was managed robotically by the Department of Obstetrics and Gynecology at the University of Tennessee, Knoxville. The patient, a 67-year-old para 1, was referred for pelvic organ prolapse. Upon examination, a large fungating mass originating from the fundal portion of the endometrium was observed. The mass was removed and found to be a benign endometrial polyp with abscess formation. Attempts at manual reduction were unsuccessful due to a firm, postmenopausal cervical ring. The video discusses the rarity of uterine inversion and various surgical techniques considered. The surgery involved dissecting the retroperitoneal space, isolating and transecting ligaments, visualizing and separating the rectum and cervix, and ultimately removing the uterus and other reproductive organs through the vagina. The vaginal cuff was then re-approximated and the patient had a successful outcome without complications.

Asset Caption

Courtney E Jenny, MD

Keywords

non-preparal uterine inversion

robotic surgery

pelvic organ prolapse

endometrial polyp

surgical techniques