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Rectovaginal fistula due to rectal lesion at subtotal hysterectomy

By on May 9, 2019 in Bowel surgery, complications, Laparoscopic Hysterectomy, Other laparoscopic procedure | 0 comments

The video demonstrates the management of a rectum lesion after a subtotal hysterectomy in an ambulatory setting. The patient was demonstrated 16 days after surgery due to stool rinsing out of the cervix. An emergency intervention was performed. The difficult decision was to decide if a primary closure of the lesion is possible or should a rectum resection with...

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Radical trachelectomy with pelvic lymphadenectomy

By on Jan 13, 2018 in oncology | 2 comments

In Europe the incidence of cervical cancer is low (middle 12/100000 per year{4-36}) . As the childbearing period has shifted to later age the risk to suffer from cervical cancer before the first delivery is increasing. Due to this reasons the need of Uterus preserving surgery is also increasing. The Video shows a case of a 24 years old woman with a cervical cancer....

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Laparoscopic Pectopexy for apical prolapse, Version 2016 PRP mesh

By on Jan 7, 2018 in Urogynecology | 5 comments

In 2007 we started to use the pectineal ligament for a bi-lateral fixation by laparoscopic route. Meanwhile we have performed more than 1000 procedures. The Pectopexy was imbedded in a multiple compartment setting to treat additional defects (lateral defect, midline defect or rectocele and entero-cele) To avoid a displacement of the vaginal center line we...

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