Pelvic organ support changes during pregnancy.

Video Author: Jette Stær-Jensen, MD
Created on: 07.09.2013

Pelvic organ support changes during pregnancy. During Valsalva maneuver an increase of the levator hiatus area of up to 21.4% is seen. The video demonstrates the same primiparous woman at 21weeks of gestation and again at 37 weeks of gestation performing Valsalava maneuver. Video courtesy of Jette Stær-Jensen, MD. See the related article by Stær-Jensen et al.

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Creator: Mr. Wally Crow and Dr. Michael Belfort
Duration: 2:19
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Creator: Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS
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Anterior colpotomy is one of the most difficult procedural steps to master during vaginal hysterectomy, and may be a major obstacle to more widespread use of the vaginal approach. Precise knowledge of surgical anatomy is essential for safe and proficient performance of this important step. The objectives of this video are to outline the anatomy of the vesicocervical space, demonstrate a dissection technique of anterior colpotomy, and present our results on the average distance from the cervico-vaginal junction to the anterior peritoneal reflection for vaginal hysterectomy. See the related article by Balgobin et al (October 2016 issue). Illustrations by Lewis E. Calver. Video created by Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS. Used with permission.
Creator: Editage Video Summaries
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Surgical site infections or SSIs are a major area of concern in complex surgeries. This study evaluated the use of bundled interventions to reduce SSIs for ovarian and uterine cancers.

Johnson et al. “Using Bundled Interventions to Reduce Surgical Site Infection After Major Gynecologic Cancer Surgery.” Obstetrics and Gynecology, Vol. 127, No. 6, June 2016. doi: 10.1097/AOG.0000000000001449
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Demonstration of a total laparoscopic hysterectomy utilizing the reverse vesicouterine fold dissection technique. The video shows a step by step illustration of a laparoscopic hysterectomy complicated by prior cesarean deliveries. See the related article by Nezhat et al (September 2016 issue). Video created by Dr. Camran Nezhat. Used with permission.
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After making a skin incision over the implant, the straight hemostat clamp is used to divide the subcutaneous tissue until the level of the implant, as determined by the preprocedure ultrasonography study. The modified vasectomy clamp grasps around the implant and brings it to the skin surface. A scalpel is used to clear any overlying fibrotic tissue to free the implant for removal. See the related article by Chen and Creinin (November 2015 issue). Video courtesy of Melissa J. Chen, MD, MPH
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Duration: 1:34
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Creator: Dr. Karl Jallad
Duration: 12:13
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Duration: 3:28
Video training for caregivers in accurate diagnosis of female genital mutilation. See the related article by Abdulcadir et al (November 2016 issue). The authors thank Svetlin Kolev for his help in making the video. Video created by Jasmine Abdulcadir. Used with permission. (Illustration at 00:37 modified from https://commons.wikimedia.org/wiki/File:Clitoris_anatomy_labeled-en.svg. Illustrations from 00:56 through 02:26 and 02:35 through 02:49 reprinted from World Health Organization. WHO guidelines on the management of health complications from female genital mutiliation. Geneva, Switzerland: World Health Organization; 2016. Photo of neuroma of the clitoris at 03:07 is reproduced from Abdulcadir J, Pusztaszeri M, Vilarino R, Dubuisson JB, Vlastos AT. Clitoral neuroma after female genital mutilation/cutting: a rare but possible event. J Sex Med. 2012 Apr;9(4):1220-5. Copyright 2012, with permission from Elsevier.)
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A demonstration of hysteroscopic sterilization in an office setting. Video courtesy of Drs. Chudnoff and Levie. See the related article by Chudnoff et al (Obstet Gynecol 2010;115:26-34).
Creator: Mr. Wally Crow and Dr. Michael Belfort
Duration: 2:19
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The operative technique of a Michigan four-wall sacrospinous ligament suspension for vaginal vault prolapse. © 2009 Kindra Larson, Daniel Morgan, and John O.L. DeLancey. Used with permission.
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LeFort colpocleisis. See the related article by Zebede et al.
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Duration: 6:44
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Duration: 8:14
Anterior colpotomy is one of the most difficult procedural steps to master during vaginal hysterectomy, and may be a major obstacle to more widespread use of the vaginal approach. Precise knowledge of surgical anatomy is essential for safe and proficient performance of this important step. The objectives of this video are to outline the anatomy of the vesicocervical space, demonstrate a dissection technique of anterior colpotomy, and present our results on the average distance from the cervico-vaginal junction to the anterior peritoneal reflection for vaginal hysterectomy. See the related article by Balgobin et al (October 2016 issue). Illustrations by Lewis E. Calver. Video created by Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS. Used with permission.
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Duration: 0:34
This animated video depicts the method of insertion and deployment of the vacuum-induced uterine tamponade device for the treatment of postpartum hemorrhage secondary to an atonic, distended uterus. The device is inserted into the uterus and the occlusion balloon is insufflated with saline to create a seal at the level of the external cervical opening. After securing the device to the patient's inner thigh, vacuum is applied, collapsing the uterus as the blood is evacuated. The device is removed after one hour. See the related article by Purwosunu et al (July 2016 issue). Video created by Marily Mallison. Used with permission.
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Duration: 0:32
Cystoscopy video using dextrose as the distension medium with the view focused on the left ureteric orifice showing a good ureteric jet. See the related article by Narasimhulu et al (January 2016 issue). Video courtesy of Deepa M. Narasimhulu, MD.
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Duration: 1:34
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Duration: 0:30
Real-time ultrasound images of the whirlpool sign in a case of ovarian torsion. The study demonstrates blood flow in a clockwise direction around a central axis. See the related article by Ashwal et al (September 2015 issue). Video courtesy of Dr. Yoav Peled.
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Duration: 6:04
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Duration: 1:30
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Duration: 3:02
Video Abstract: Bowel Perforation after Placement of Tubal Occlusion Contraceptive Dr. Kristin Riley summarizes her case report of a bowel perforation after placement of tubal occlusion contraceptive appearing in the April, 2015 issue of the Obstetrics & Gynecology.
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Duration: 5:27
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Duration: 4:16
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Creator: Cleveland Clinic Foundation; Khoury, Mahdi, Boes, Kebria
Duration: 4:07
Robotic-assisted peripartum hysterectomy after second trimester loss with placenta increta. Cleveland Clinic Foundation © 2013. All rights reserved. See the related article by Boes et al.
Creator: Ali Akdemir, MD
Duration: 7:30
The specimen is placed into the glove within the abdomen. Glove opening and thumb are exteriorized through the umbilical and left lower incisions, respectively. The trocar and optic are inserted into the glove, which is then insufflated. The thumb tip is cut, and a power morcellator is inserted through this finger. The morcellation is accomplished within the glove. The thumb tip is closed, and the glove, containing residuals, is removed through the umbilical incision. Thus, the risks of bag piercing and leakage during contained power morcellation are eliminated. See the related article by Akdemir et al (May 2015 issue).
Creator: Cleveland Clinic Foundation; Khoury, Mahdi, Boes, Kebria
Duration: 3:46
Robotic-assisted peripartum hysterectomy after second trimester loss with placenta increta. Cleveland Clinic Foundation © 2013. All rights reserved. See the related article by Boes et al.
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Duration: 4:26
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Duration: 2:10
Outpatient vaginal hysterectomy: tactics to help facilitate same-day discharge. See the related article by Zakaria and Levy.
Creator: Video courtesy of: Jérôme Cornette, Eline Wilk van der, Robin M.F. van der Weiden, Peter Pattynama, Sjoerd F.M. Jenninkens, and Johannes J. Duvekot. Used with permission.
Duration: 0:14
Two-dimensional grayscale, color Doppler, and pulsed wave Doppler cine-loop of the pseudoaneurysm, showing a jet of swirling blood, typical Yin Yang sign and uterine artery Doppler profile. Video courtesy of Jérôme Cornette, Eline Wilk van der, Robin M.F. van der Weiden, Peter Pattynama, Sjoerd F.M. Jenninkens, and Johannes J. Duvekot. Used with permission.
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After making a skin incision over the implant, the straight hemostat clamp is used to divide the subcutaneous tissue until the level of the implant, as determined by the preprocedure ultrasonography study. The modified vasectomy clamp grasps around the implant and brings it to the skin surface. A scalpel is used to clear any overlying fibrotic tissue to free the implant for removal. See the related article by Chen and Creinin (November 2015 issue). Video courtesy of Melissa J. Chen, MD, MPH
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Endometrial and endocervical polypectomy using a 16-French resectoscope equipped with a monopolar loop electrode. See the related article by Ricciardi et al.
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This video illustrates a hybrid approach specimen removal with myomectomy or hysterectomy. See the related article by Kho et al (October 2014 issue).
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Duration: 0:44
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This video gives a detailed view of the steps including the harvesting of a split-thickness graft from the patient's pannus, suturing of this graft onto an obstetric balloon, and its placement inside the space created at the proximal end of the foreshortened vagina is presented. See the related article by Rauktys et al (January 2015 issue).
Creator: The American College of Obstetricians and Gynecologists
Duration: 23:45
Dr. Richard N. Waldman’s Inaugural Address from the 2010 Annual Clinical Meeting of the American College of Obstetricians and Gynecologists, May 19, 2010, San Francisco, California. See the related article by Dr. Waldman.
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Duration: 1:43
This video shows images of a 2 port, in-CO2 fetoscopic repair performed on a human fetus with a L3 to S1 meningomyelocele. See the related article by Belfort et al.
Creator:
Duration: 0:24
Video courtesy of Dr. Elysia Moschos. See the related article by Moschos et al (Obstet Gynecol 2009;113:881-7).
Creator: Editage Video Summaries
Duration: 3:28
Surgical site infections or SSIs are a major area of concern in complex surgeries. This study evaluated the use of bundled interventions to reduce SSIs for ovarian and uterine cancers.

Johnson et al. “Using Bundled Interventions to Reduce Surgical Site Infection After Major Gynecologic Cancer Surgery.” Obstetrics and Gynecology, Vol. 127, No. 6, June 2016. doi: 10.1097/AOG.0000000000001449
Creator: The American College of Obstetricians and Gynecologists.
Duration: 13:48
2009 Stump the Professors presentation by Alireza A. Shamshirsaz, MD of University of Iowa Hospitals and Clinics, Iowa City, IA. See the related editorial by James R. Scott, MD (Obstet Gynecol 2009;114:413-4) and the related article by Shamshirsaz et al (Obstet Gynecol 2009;114:448-50).
Creator: Dr. Dick Oepkes
Duration: 00:21
Laser treatment of placental vascular anastomoses.
Creator: Dr. Amir Mor
Duration: 1:54
This test is based on an immunoassay for alpha-fetoprotein embedded in a sanitary pad. The leaking fluid is absorbed into the sampling region and spreads by capillary action along the immunoassay test strip. If both control and test bars appear, the assay is interpreted as positive for amniotic fluid leakage. If only the control bar is visible, the assay is interpreted as negative for amniotic fluid leakage, and therefore, the leaking fluid might be urine or semen. See the related article by Mor et al (August 2016 issue). Video created by Dr. Amir Mor. Used with permission.
Creator: Lindsay B. Killingsworth, MD.
Duration: 19:13
2008 Stump the Professors presentation by Lindsay B. Killingsworth, MD.
Creator: Holt Medical, Inc.
Duration: 1:32
Overview of laparoscopic ultrasound-guided radiofrequency volumetric thermal ablation of myomas. Video courtesy of Holt Medical, Inc. See the related article by Chudnoff et al.



Creator: Dr. Han-Mou Tsai
Duration: 4:01
Dr. Han-Mou Tsai presents a case of a woman with atypical hemolytic uremic syndrome. See the related article by Oduyebo et al (May 2016 issue). Video courtesy of Dr. Han-Mou Tsai.
Creator: Kindra Larson, Daniel Morgan, and John O.L. DeLancey
Duration: 9:00
The operative technique of a Michigan four-wall sacrospinous ligament suspension for vaginal vault prolapse. © 2009 Kindra Larson, Daniel Morgan, and John O.L. DeLancey. Used with permission.