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Imaging System for Vaginal Surgery

Taylor, G. Bernard MD; Myers, Erinn M. MD

doi: 10.1097/AOG.0000000000001093
Contents: Procedures and Instruments

BACKGROUND: The vaginal surgeon is challenged with performing complex procedures within a surgical field of limited light and exposure.

INSTRUMENT: The video telescopic operating microscope is an illumination and imaging system that provides visualization during open surgical procedures with a limited field of view. The imaging system is positioned within the surgical field and then secured to the operating room table with a maneuverable holding arm. A high-definition camera and Xenon light source allow transmission of the magnified image to a high-definition monitor in the operating room. The monitor screen is positioned above the patient for the surgeon and assistants to view real time throughout the operation.

EXPERIENCE: The video telescopic operating microscope system was used to provide surgical illumination and magnification during total vaginal hysterectomy and salpingectomy, midurethral sling, and release of vaginal scar procedures. All procedures were completed without complications. The video telescopic operating microscope provided illumination of the vaginal operative field and display of the magnified image onto high-definition monitors in the operating room for the surgeon and staff to simultaneously view the procedures.

CONCLUSION: The video telescopic operating microscope provides high-definition display, magnification, and illumination during vaginal surgery.

Supplemental Digital Content is Available in the Text.The video telescopic operating microscope provides high-definition display, magnification, and illumination during vaginal surgery.

Department of Obstetrics and Gynecology, Carolinas HealthCare System, Charlotte, North Carolina.

Corresponding author: G. Bernard Taylor, MD, 2001 Vail Avenue, Suite 360, Charlotte, NC 28207; e-mail: bernard.taylor@carolinashealthcare.org.

Financial Disclosure Dr. Taylor has served on the speakers' bureaus for American Medical Systems, Boston Scientific, Coloplast, and Intuitive Surgical. The other author did not report any potential conflict of interest.

Abstract presented at the AAGL 2015 Global Congress on Minimally Invasive Gynecology, November 15–19, 2015, Las Vegas, Nevada.

© 2015 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.