This video discusses a case involving partial thickness colonic/rectal endometriosis with severe pain with defecation. The video demonstrates dissection technique for bowel mobilization and resection of the lesion, as well as generalized intraperitoneal and retroperitoneal dissection techniques.
For clinical consultation with Dr Fogelson in Portland, OR, contact Pearl Women’s Center at 503-771-1883
This is a video describing and demonstrating technique for resection of stage I endometriosis, performed and narrated by Dr Nicholas Fogelson of Pearl Women’s Center in Portland, OR. Drs Fogelson and Rosenfield are available for clinical consultation, seeing patients from Portland, the Pacific Northwest, and around world.
This is an edited video of a robotic hysterectomy and salpingoopherectomy in a patient with stage IV endometriosis, with bilateral endometrioma, cul de sac obliteration, and severe retroperitoneal fibrosis. The video demonstrates ureterolysis, dissection of ovarian vessels from the ureter, and management of colpotomy in the setting of dense adhesions.
For clinical consultation with Dr Fogelson, call Pearl Women’s Center in Portland, OR at (503) 771-1883 or send email to email@example.com
Addendum in 2016 – This is a great surgical anatomy video, and shows how to get into the right spaces to complete a hysterectomy laparoscopically in stage IV endometriosis. That said, it also shows a surgeon failing to resect everything they can. With ovaries removed a patient like this will do very well, but it would have been possible to remove more disease as well, which may have improved long term symptoms.
This video shows a particularly difficult robotic hysterectomy, complicated by severe inflammatory adhesive disease of the left paravesical space. This case demonstrates retroperitoneal anatomy and key strategies for dealing with complicated hysterectomies.
For consultation with Dr Fogelson please call Emory University at (404) 778-4416
Copyright 2012 Nicholas Fogelson and http://www.academicobgyn.com
Robotics is an exciting new area of surgery, and is of great use in gynecologic surgery. Robotics can be used in most any laparoscopic surgery, and makes many minimally invasive cases possible that otherwise would have to be open cases.
Case: a 30 year old woman presents to the ED with acute left lower quadrant pain. A CT showed pelvic fluid and a 8 cm teratoma in the right lower quadrant.