Incorporating VH Into the Armamentarium of the Minimally Invasive Gyn Surgeon

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Dr. Rosanne M. Kho, a renowned gynecologist, shared insights on incorporating vaginal hysterectomy (VH) into the field of minimally invasive gynecologic surgery (MIGS) during an AUGS webinar. VH is highlighted as having better outcomes and fewer complications compared to laparoscopic or abdominal hysterectomy for benign diseases. Financially, institutions can save significant amounts by favoring VH over other approaches. However, nationwide trends show a decline in VH rates, with surgeons leaning towards laparoscopic and robotic hysterectomies due to perceived challenges and lack of training in VH. The importance of VH in women's health is emphasized, with a call for competency in VH for gynecologic surgeons and residents. Troubleshooting tips, patient selection criteria, imaging techniques, and new technologies like the Anovo Robotic system and vNOTES were discussed to enhance the success of VH procedures. The SAVVY initiative aims to advance vaginal surgery through training programs and proctorship. Dr. Kho underlines the necessity of evolving patient selection criteria, incorporating new technologies, and refining surgical techniques for successful VH procedures.

Keywords

Dr. Rosanne M. Kho

gynecologist

vaginal hysterectomy

minimally invasive gynecologic surgery

AUGS webinar

laparoscopic hysterectomy

abdominal hysterectomy

vNOTES

Anovo Robotic system

SAVVY initiative