FEATURES  

. 3D Interactive animations showing a representation of the dynamic of the pelvic floor on each one of the main stages of the vaginal hysterectomy in absence of prolapse.

. 3D modeling of the essential instruments required for vaginal hysterectomy. Interactivity to generate 360 degrees rotation and functionality.

. Quality of the scientific content. The application includes the main aspects that you need to know about vaginal hysterectomy, from patient selection and morcellation techniques to dealing with unexpected drawbacks, the following is the list of the scientific content :

History, Advantages, Patient Selection and Preparation

. Videos - Patient positioning

- Essential instruments

- Support for instruments on surgeon's lap

. Lecture with 25 Slides

. 18 pages ( IPAD size ) with text and drawings

 

Standard Technique and Details to Optimize Results

. Videos - Posterior cervical incision and opening the posterior cul-de-sac

- Anterior incision on the cervix and supracervical septum

- Clamping, cutting and suturing the parametria

- Opening the anterior peritoneum

- Clamping, cutting and suturing the uterine vessels

- Posterior flipping and removal of the uterus

- Suturing and tagging the adnexal pedicle

- Suture of the vaginal cuff

. Lecture with 26 Slides

. 24 pages ( IPAD size ) with text and drawings

 

 

Transvaginal Morcellation of the Large Uterus

Videos - The uterine vessels are readily accessible to the vaginal surgeon, allowing for the removal of large uteri vaginally

- Intramyometrial coring

- Cervical amputation and hemisection

- Posterior fundal morcellation

- Combined morcellation techniques for a 2kg uterus

. Lecture with 12 Slides

. 15 pages ( IPAD size ) with text and drawings

 

 

Overcoming the Difficult Vaginal Hysterectomy

Videos - Incision of the anterior peritoneum above the cesarean section scar

- Previous surgery with adhesions

- Vaginal Access

- Morbid obesity

-Previous ventrosuspension

. Lecture with 19 Slides

. 14 pages ( IPAD size ) with text and drawings

 

 

Adnexal Surgery During Vaginal Hysterectomy

Videos - Vaginal adnexectomy

- Vaginal removal of ovarian cyst during hysterectomy

- Vaginal removal of endometrioma during hysterectomy

- Vaginal removal of dermoid cyst without hysterectomy

- Vaginal tubal ligation

- Vaginal surgery for rare ectopic pregnancy

. Lecture with 20 Slides

. 13 pages ( IPAD size ) with text and drawings

 

 

Tips on Prevention and Treatment of Complications

Videos - Suture of vascular pedicle

-Inclusion of the anterior and posterior peritoneum when clamping the vessels

- Revision of hemostasis between the two previously tagged pedicle sutures

- Running-locked suture incorporating posterior peritoneum and vaginal mucosa

- Running-locked suture incorporating anterior peritoneum and vaginal mucosa*

- Intraoperative hemorrhage

- Anterior cervical incision, section of the supracervical septum and bladder retraction

- Incision of the anterior peritoneum and placement of a Breisky retractor inside the cavity

- Bladder injury repair

- Posterior cervical incision, peritoneal opening and insertion of a long weighted specullum

- Treatment of rectal injury

. Lecture with 51 Slides

. 28 pages ( IPAD size ) with text and drawings

 

VIDEOS WITH 3D-INTERACTIVE ANIMATION
Video
3D Animation
Posterior cervical incision
Yes
Yes
Entering the peritoneal cavity
Yes
Yes
Peritoneal opening
Yes
Yes

Anterior cervical incision and sectionof the supracervical septum

Yes
Yes

Clamping and cutting the uterosacral/cardinalligament complex

Yes
Yes
Suture of the uterosacral/cardinal ligament complex
Yes
Yes
Incision of the anterior peritoneum
Yes
Yes
Clamping , cutting and suturing the vascular pedicle
Yes
Yes
Morcellation and removal of the uterus
Yes
Yes ( 2 Views)
Vaginal adnexectomy
Yes
No
McCall culdoplasty and suture of the vaginal cuff
Yes
No
Tying the McCall suture
Yes
No
NOTE : The videos with audio are in Portuguese

 

 

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