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Imiquimod application in the cervix

Video Author: Bruno de Oliveira Fonseca, MD
Published on: 05.06.2021

Application of 5% imiquimod cream on the cervix with the aid of a disposable brush. Video created by Bruno de Oliveira Fonseca, MD. Used with permission.

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Imiquimod application in the cervix
Creator: Bruno de Oliveira Fonseca, MD
Duration: 00:23
Application of 5% imiquimod cream on the cervix with the aid of a disposable brush. Video created by Bruno de Oliveira Fonseca, MD. Used with permission.
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Beef tongue simulation model for posterior vaginal repair
Creator: Elisabeth Sappenfield, MD and Elena Tunitsky, MD
Duration: 5:48
This video illustrates the creation of the model and the steps of the traditional posterior vaginal repair using the model: the vaginal incision, vaginal dissection, plication of the vaginal muscularis and perineorraphy, trimming of vaginal epithelium, and vaginal epithelium closure, and performance of rectal examination. Video created by Elisabeth Sappenfield, MD and Elena Tunitsky, MD. Used with permission.
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Wireless laparoscopic adnexectomy due to benign mucinous cystadenomas.
Creator: Dr. Ioannis Chatzipapas
Duration: 3:31
Video created by Dr. Ioannis Chatzipapas. Used with permission.
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Wireless laparoscopic salpingectomy for ectopic pregnancy.
Creator: Dr. Ioannis Chatzipapas
Duration: 2:00
Video created by Dr. Ioannis Chatzipapas. Used with permission.
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Candy cane versus boot stirrups in vaginal surgery: use of goniometers
Creator: Ankita Gupta, MD, MPH
Duration: 2:10
This video provides an overview of the use of goniometers to measure the angles of flexion at hip and knee as well as angle between the femurs as performed in this study. Created by Ankita Gupta, MD, MPH. Used with permission.
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Prone positioning in intubated pregnant patient.
Creator: Mary Catherine Tolcher, MD, MSc and Jennifer R. McKinney, MD, MPH
Duration: 3:41
Created by Mary Catherine Tolcher, MD, MSc and Jennifer R. McKinney, MD, MPH. Used with permission.
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Prone positioning in awake pregnant patient.
Creator: Mary Catherine Tolcher, MD, MSc and Jennifer R. McKinney, MD, MPH
Duration: 2:56
Created by Mary Catherine Tolcher, MD, MSc and Jennifer R. McKinney, MD, MPH. Used with permission.
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Exercise L-4: intracorporeal tie
Creator: AAGL
Duration: 3:04
The participant is positioned and provided laparoscopic scissors and the same choices of needle drivers or grasper offered in Exercise L-3 (see Video 4, http://links.lww.com/xxx). The exercise goal was to pass a 15-cm 2-0 polygalactin 910 suture (Vicryl), swedged on to a 26-mm ½ curved tapered needle through the marks on the Penrose and approximate the defect with a knot comprising three intracorporeally formed throws, the first of which was a double throw —a surgeon’s knot. The maximal allowed time and errors recorded were identical to those for Exercise L-3. Video created by AAGL. Used with permission.
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Exercise L-3: extracorporeal tie
Creator: AAGL
Duration: 3:42
After selecting a side of the trainer box, each participant was provided laparoscopic scissors and then chose a standardized, non–self-righting Fundamentals in Laparoscopic Surgery laparoscopic needle driver, and another grasping instrument—either another identical needle driver or one of the Maryland forceps. The exercise goal was to pass a 90-cm 2-0 silk suture with a swedged-on 26mm, ½ curved, and tapered needle through the paired target marks on the Penrose. Then, participants approximated the linear defect with a knot comprising three, single, extracorporeally formed throws, each sequentially transferred into the trainer and tightened with a choice of two knot manipulators. To end the exercise, the participant was required to cut both ends of the suture with the laparoscopic scissors. Video created by AAGL. Used with permission.
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Exercise L-2: pattern cut
Creator: AAGL
Duration: 3:05
The participant selected a side of the trainer box and was provided 5-mm outside diameter (OD) laparoscopic scissors and a 5-mm OD Maryland grasper. The exercise goal was to cut out the central circle, incising only the top layer of the gauze, and without the cut transecting the inner or outer boundaries. Video created by AAGL. Used with permission.
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Exercise L-1: sleeve-peg transfer
Creator: AAGL
Duration: 3:07
Participants were asked to select a side of the trainer box and were provided two 5-mm laparoscopic outside diameter laparoscopic Maryland forceps. The exercise comprised moving each of the six sleeves on the floor-mounted peg module to one of the six pegs located in panels 1 through 5 of the LaparoBowl, making at least one transfer from one forceps to the other in the process. Once this was accomplished, the participant was asked to reverse the process. Video created by AAGL. Used with permission.
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Participant orientation video
Creator: AAGL
Duration: 0:56
To standardize orientation, this video was presented to each participant and covered at a high level, the rationale for the trial and the specifics of the exercises. Detailed video descriptions were also made available to the participants. Video created by AAGL. Used with permission.
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A novel laparoscopic simulation platform
Creator: Amanda Ulrich, MD, Maureen Cho, MD, and Veronica Lerner, MD
Duration: 5:53
This video illustrates the creation of a reusable laparoscopic simulation platform, set up with a colpotomy model, and demonstration of the usability. Created by Amanda Ulrich, MD, Maureen Cho, MD, and Veronica Lerner, MD. Used with permission.
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Male-to-female transgender surgery: a basic tutorial.
Creator: Olivia O. Cardenas-Trowers, MD, Crystal L. Valadon, MBA, Paul B. Knoll, MD, and Murali K. Ankem, MD, MBA
Duration: 5:00
The objective of this video is to familiarize gynecologists with gender dysphoria and the basic steps of male-to-female transgender surgery using the penile inversion vaginoplasty technique. Although many gynecologists may choose not to perform male-to-female transgender surgery, knowledge of this procedure may translate to better understanding and improved care of the transgender patient. Video created by Olivia O. Cardenas-Trowers, MD, Crystal L. Valadon, MBA, Paul B. Knoll, MD, and Murali K. Ankem, MD, MBA. Used with permission.
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Fetoscopic tracheal balloon occlusion
Creator: Ahmet Baschat, MD
Duration: 1:40
The video shows the oropharynx and trachea of a fetus at 28 weeks of gestation undergoing fetoscopic tracheal balloon occlusion for a severe congenital diaphragmatic hernia. The fetoscope is advanced from the mouth into the trachea guided by the anatomic landmarks as shown in the video. Video created by Ahmet Baschat, MD. Used with permission.
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Vaginal cesarean delivery: operative technique.
Creator: Sophie Delplanque, MD and Krystel Nyangoh Timoh, MD, PhD
Duration: 3:57
This video is a step-by-step operative technique for educational purposes. The current pregnancy was complicated by severe preeclampsia, the medical team decided to perform a vaginal cesarean delivery for maternal salvage. The operative technique consists of 4 steps. Step 1 is the sagittal and vertical incision of the cervix then the bladder with the anterior vaginal wall pushed upwards. Step 2 is the exposing the lower uterine segment and making a vertical segment incision up to the highest part of the lower uterine segment. Step 3 is the extraction of the fetus and the step 4 is the reconstruction of the lower uterine segment by separate sutures.
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Perineorrhaphy with distal posterior colporrhaphy.
Creator: Marie Westergren Söderberg (head surgeon), Marion Ek (producer), Ida Bergman (narrator), Clas Fröhling, Foto group at Södersjukhuset, Stockholm, Sweden (camera and editing)
Duration: 10:24
This video demonstrates the standardized surgical technique that was used when performing the operations in women allocated to surgical treatment. Image demonstrating a second-degree perineal tear illustrated by GynZone, used with permission.
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Medical adhesive–related skin injury
Creator: Steven B. Cherry, MD, Michelle Vasko, DO, and Efrain Torres (audio video technician)
Duration: 1:27
Proper technique for removing surgical dressing to avoid medical adhesive–related skin injury.
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Vaginal Hysterectomy Surgical Skills Curriculum: Task Video
Creator: Sunil Balgobin, Cherine A. Hamid, Chris Caudle, and Clifford Y. Wai.
Duration: 6:42
Declining vaginal hysterectomy numbers in Obstetrics and Gynecology training programs underscores the need to improve the teaching of vaginal surgical skills. Barriers to performing vaginal hysterectomy include technical difficulty, low caseload, lack of requisite skills, and lack of experience with need for more training. To enhance surgical education, we developed a proficiency-based vaginal hysterectomy suturing technical skills curriculum. The objective of this video is to illustrate the correct performance, proper surgical technique, and time and error evaluation for four important vaginal hysterectomy suturing tasks (Heaney pedicle stitch, simple pedicle stitch, double ligature, and continuous running stitch).
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