Mini-laparoscopic hysterectomy

This video demonstrates the case of a 65-year-old woman presenting with post-menopausal bleeding and diagnosed with carcinosarcoma. We decided to perform a simple hysterectomy and pelvic lymphadenectomy. Because the specimen was difficult to extract, it was placed into a bag, morcellated, and removed through the vagina.

This video demonstrates the case of a 46-year-old patient presented with menorrhagia and anemia.
Clinical examination revealed a large mass almost reaching the level of the umbilicus.
The uterus appeared much bigger than usual on MRI, with a large myoma coming out of the pelvis.
It was decided to perform total laparoscopic hysterectomy combined with bilateral salpingectomy.
This video demonstrates the appropriate strategy to safely perform total laparoscopic hysterectomy in case of large uterus, showing the appropriate surgical steps and providing safety tips. The specimen weighed more than 1kg.

We present the case of a 65-year-old patient, diagnosed with uterine fibroids that have increased in volume over the last months. The patient had previously undergone a rectosigmoid resection and an appendectomy due to an adenocarcinoma. This surgery was streamed live worldwide, and it provides a unique opportunity to learn how to assess, diagnose, and treat intraoperative unexpected complications.

In this key lecture, Dr. Ferreira outlines the techniques and principles related to laparoscopic hysterectomy.

This is the case of a 71-year-old woman, p2+2 with two previous cesarean sections. She had postmenopausal bleeding and she was diagnosed with simple glandular endometrial hyperplasia with focal complex atypia as demonstrated on tissue biopsy. This video demonstrates the techniques of total laparoscopic hysterectomy and bilateral salpingo-oophorectomy following standardized steps even in non-straightforward cases, i.e. previous cesarean sections, and especially with bladder dissection.