AUGS/IUGA Scientific Meeting 2019-Techniques in Anterior Colpotomy and Cystotomy Repair in Vaginal Hysterectomy: A Primer for Resident Education

Techniques in Anterior Colpotomy and Cystotomy Repair in Vaginal Hysterectomy: A Primer for Resident Education

Video Transcription

Video Summary

This video serves as a primer for OB-GYN residents on techniques in anterior colpotomy and cystotomy repair in vaginal hysterectomy. The goal is for residents to feel comfortable performing a vaginal hysterectomy independently. The video reviews various techniques for anterior colpotomy and highlights the signs of a cystotomy. It also emphasizes the importance of exposing residents to surgical cases performed by their colleagues. The video demonstrates the steps of vaginal hysterectomy, including creating an incision, dissecting the vesico-vaginal and vesico-cervical septum, and recognizing the peritoneal reflection. The video also shows an alternative approach to anterior colpotomy and emphasizes the importance of proper tissue behavior and incision placement. The consequences of failing to recognize bladder dissection properly and the importance of assessing bladder injuries are also discussed. The closure of a cystotomy is shown, along with the need for bladder survey and confirmation of bilateral ureteral patency. The video concludes by mentioning the availability of cadaveric pelvic dissection for further learning and the use of videos for self-evaluation.

Asset Caption

Parisa A Samimi, MD

Keywords

OB-GYN

residents

anterior colpotomy

cystotomy repair

vaginal hysterectomy