Gynecology
Dr Chris Steele demonstrates a breast examination on a live model. This shows how to check yourself for early signs of tumours, cysts and other symptoms of breast cancer.
M. Patrick Lowe, MD, renowned robotic surgeon and gynecologic oncologist at Northwestern Memorial Hospital, will demonstrate the use of robotic surgery to treat endometrial cancer.
Dr. Lowe, director of the robotics and minimally invasive surgical program for the Division of Gynecologic Oncology at Northwestern University's Feinberg School of Medicine, was among the early adopters of robotics to treat gynecologic malignancies, citing precision, improved dexterity and superior patient outcomes among the benefits.
"Women diagnosed with a gynecologic malignancy want the shortest route leading back to a degree of normalcy post treatment," says Lowe. "Robotic surgery offers the path of least resistance, combining shorter recovery times with superior outcomes."
Laparoscopic Tubal Reversal of fallopian tubes after ligation
Tubal ligation using Fallope Ring
4D Ultrasound 23 Weeks
Laparoscopic excision of a 6cm Cornual Ectopic Pregnancy that failed initial MTX treatment.
Removal of pregnancy within the fallopain tube using laparoscopic keyhole surgery. A segment of the tube together with the pregnancy within is removed.
A video showing the Vasa Previa which is an abnormality of the placenta
A video showing Cystocele Repair
This video shows the process of development and growth of the fetus intrauterine.
To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.
"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.
For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing
Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.
A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.
In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.
"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."
Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.
A good case comprising of laparoscopic cholecystectomy with lap. assisted vaginal hysterectomy done simultaneously
Robot-Assisted Laparoscopic Rectal resection for Endometriosis.Operation performed by D.Vitobello, director of divisione of Gynaecology, and G.Baldazzi,director of Surgical department. Abano Terme Hospital Padova (Italy)
Professional breast exam
The period between stages one and two of labour
First stage of labour with its signs and symptoms like uterine contractions and the show
different fetal lie and pre
Clamping the umbilical cord and assessment of the apgar score of the baby
management of the second stage of labour
Level of fundus and exam