Minimally invasive surgical oncology

Power morcellation has lately become a dilemma and has been a matter of extensive discussions.
For a long time, morcellation of an undiagnosed malignancy has been a frightening topic. In this round table discussion, the authors discuss the concerns and critical reviews of power morcellation. They also address the importance of patient informed consent.

In this key lecture, Dr. Rodrigo Fernandes highlights the importance of the assistant in gynecology.

In this key lecture, Professor Jean-Bernard Dubuisson delineates the laparoscopic pelvic floor anatomy involved in surgical procedures for the management of pelvic organ prolapse (POP) and urinary incontinence. Traditional anatomy considers three levels: pelvic and perineal muscles, ligaments, and the space between all fascias covering the organs. Visceral ligaments occupy an anteroposterior axis (pubovesical ligaments, bladder pillars, and uterosacral ligaments) and a transverse axis (lateral bladder ligaments, cardinal ligaments, paracervix and rectal pillars). The four attachment sites which may be used by the surgeon for fascia and pelvic organ attachment in POP surgery are discussed-- Cooper’s ligament, white line, ischial spine, and sacral promontory. Approximately 90 laparoscopic anatomy pictures are presented in this authoritative lecture. The dissection planes and the different pelvic spaces used for surgery are explained, insisting on the main vessels, nerves, plexus, ureters which are obstacles to bear in mind and to avoid.

In this key lecture, Dr. Rouba Murtada discusses the increased risk of pelvic organ prolapse (POP) after hysterectomy and whether to restore or not to restore the vaginal cuff after total laparoscopic hysterectomy, with references to published data.

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