Total laparoscopic hysterectomy (TLH) using the LigaSure™ Retractable L-hook Laparoscopic Sealer/Divider

The description of the extraperitoneal laparoscopic iliac para-aortic lymph node dissection for gynecologic cancer covers all aspects of the surgical procedure used for the management of gynecologic cancer.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: diagnostic laparoscopy, extraperitoneal approach, difficulties, lymphadenectomy, resection.
Consequently, this operating technique is well standardized for the management of this condition.

This video shows a hemihysterectomy for uterine malformation (class II non-communicating unicornuate uterus according to ASRM (AFS, 1988) classification). Urinary system is explored and is normal.

In this lecture, the three different approaches to hysterectomy, i.e. abdominal, vaginal, and laparoscopic, are presented laying the emphasis on the laparoscopic technique. The classification of laparoscopic hysterectomy is provided and the most important functional outcome parameters are discussed in the context of an evidence-based comparison between these three approaches. The learning curve for laparoscopic hysterectomy is emphasized and the corresponding data are presented. A take home message is conveyed.

This is the case of a 56-year-old woman with abdominal pain due to a uterine myoma. A 5cm subserous myoma is located on the posterior aspect of the uterus. The video demonstrates the techniques of a total laparoscopic hysterectomy with bilateral adnexectomy. It shows how the 10 standardized steps can help the surgeon to perform hysterectomy in safe conditions in this case.

This is the case of a 45-year-old woman with atypical hyperplasia. In her previous history, she had 3 caesarean sections. During the last caesarean section, a bladder injury occurred. The surgical strategy consisted in a hysterectomy with preservation of both ovaries. This video demonstrates the difficulties of bladder dissection, as well as the advantages and limitations of the mini-laparoscopic technique.

In this key lecture, Dr. Rudi Campo explains how to prevent postoperative intrauterine adhesions in the case of non-pregnant uterus.

The description of the hysteroscopic endometrial ablation covers all aspects of the surgical procedure used for the management of endometrial pathologies and menometrorrhagia.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are presented in a step by step way: adjustment of system, operative technique.
Consequently, this operating technique is well standardized for the management of this condition.

This video shows a laparoscopic total hysterectomy and a bilateral pelvic lymphadenectomy for endometrial cancer. The patient is obese with a BMI of 34, which makes the surgical intervention more difficult. Anatomical landmarks are very well shown.

In this key lecture, Professor Kridelka gives us an accurate view of the approach to nodal staging in patients presenting with advanced cervical cancer in a clear and well-structured manner. Understanding the value and methodology of staging is of capital importance when treating patients with cervical cancer.

This video shows a myomectomy in which uterine arteries and infundibulopelvic ligaments are clipped temporarily in order to reduce intraoperative blood loss.
In addition, the incision of the uterus used to extract the myoma is not typical as the myoma is partially intramural and partially in the broad ligament. The choice of this incision is driven by the aim of decreasing blood loss, obtaining good ergonomics and anatomical exposure.