New Surgical Video: Robotic Hysterectomy with Stage IV Endometriosis
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 firstname.lastname@example.org
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.