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Vaginal cesarean delivery: operative technique.

Video Author: Sophie Delplanque, MD and Krystel Nyangoh Timoh, MD, PhD
Published on: 01.09.2020

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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122 Videos

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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Resident guide to using the decision aid for opioid prescribing after hysterectomy

Creator: Annmarie Vilkins, DO

Duration: 4:31

Play Video | + Favorites

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).

Play Video | + Favorites

Vaginal Hysterectomy Surgical Skills Curriculum

Creator: Sunil Balgobin and Chris Caudle

Duration: 3:21

Declining vaginal hysterectomy numbers in Obstetrics and Gynecology training programs highlights the need for innovative methods to teach vaginal surgical skills. Unfortunately, simple inexpensive vaginal hysterectomy models are difficult to construct due to complex pelvic anatomy and the unique vaginal surgical field. The objective of this video is to demonstrate construction of a low-cost, low-fidelity vaginal hysterectomy suturing skills bench model to simulate the Heaney pedicle stitch, simple pedicle stitch, double ligature, and continuous running stitch.

Play Video | + Favorites

Tissue Model for Laparoscopic Colpotomy Simulation

Creator: Maureen Cho, Clarissa Lam, Veronica Lerner

Duration: 6:56

Laparoscopic hysterectomy is challenging to teach, and colpotomy is considered to be one of the most challenging steps. We have developed a low-cost partial task trainer to teach the colpotomy portion of a laparoscopic hysterectomy. The model consists of porcine stomach attached to a uterine manipulator, and a reusable uterus replica. Video consists of how-to step-by-step instructions to create the model and demonstrates is use in different settings. Video created by Maureen Cho, Clarissa Lam, Veronica Lerner. Used with permission.

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Trans-Umbilical Vaginoplasty through Fractionated Mini-Ports; A suture-less procedure

Creator: Ali M. El Salman

Duration: 3:19

This video demonstrates a minimally invasive technique using micro port entry for treatment of complete vaginal agenesis (see the related article by El Saman et al in the July 2019 issue). Video created by Ali M. El Saman; MD. Used with permission.

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The Shoulder Shrug Maneuver

Creator: Ricardo Leante, MS

Duration: 1:39

The video highlights a new technique to facilitate delivery during shoulder dystocia. See the related article by Sancetta et al (June 2019 issue). Video created by Ricardo Leante, MS. Used with permission.

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Development and hierarchical task analysis of a robotic pelvic surgery training model.

Creator: Sonia Parra

Duration: 5:48

This video highlights the development and use of a dry lab pelvic model to simulate minimally invasive sacrocolpoepy with a focus on presacral dissection and vaginal and presacral suture placement. See the related article by Myers et al (May 2019 issue). Video created by Erinn Myers, MD, Megan Tarr, MD, MS, Brittany Anderson-Montoya, PhD, Charles Whitley, and Kevin Stepp, MD. Used with permission.

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Three-dimensional printed uterine model, bivalved.

Creator: Amy Mackey, MD, Philip Lim, MD, and Robert Pugliese, PharmD

Duration: 0:54

This video shows the final three-dimensional printed uterine model with myomas shown in red. The model is bivalved and myomas impinging on the internal cavity can be seen on the inner surface of the model. The placenta is also shown in red. See the related article by Mackey et al (April 2019 issue). Video created by Amy Mackey, MD, Philip Lim, MD, and Robert Pugliese, PharmD. Used with permission.

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Low-cost Universal Cervical cancer Instructional Apparatus (LUCIA) demonstration video.

Creator: Sonia Parra

Duration: 3:07

A live demonstration of how to use the LUCIA model for cervical cancer prevention training. See the related article by Parra et al (March 2019 issue). Video created by Sonia Parra. Used with permission.

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Riboflavin for cystoscopy

Creator: Michael L. Stitely, MD

Duration: 0:22

This cystoscopy video demonstrates the effect of oral administration of 400mg of riboflavin the night prior to gynecological surgery with planned intraoperative cystoscopy. The strong yellow coloration of the urine is seen with the ureteric jet from each ureter. See the related article by Stitely et al (XXX 2019 issue). Video created by Michael L. Stitely, MD. Used with permission.

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Cesarean delivery incision technique for the obese parturient

Creator: Nisha Lakhi, MD

Duration: 5:25

Demonstration of technique on a woman aged 32 years gravida eight para seven with a body mass index of 48.5 and a history of four previous cesarean deliveries. See the related article by Lakhi et al (September 2018 issue). Video created by Nisha Lakhi, MD. Used with permission.

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Salpingectomy during vaginal hysterectomy.

Creator: Michel Cosson, MD, PhD

Duration: 4:38

After posterior rotation of the uterus, the authors removed the fallopian tube before separation of the adnexa. See the related article by Giraudet et al (August 2018 issue). Video created by Michel Cosson, MD, PhD. Used with permission.

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Testing for chromosomal abnormalities.

Creator: Karen O'Brien, MD, Karen Marchand, MS, and Tom Laws

Duration: 15:48

This video provides information on the basics of genetics, common chromosomal abnormalities, and options for prenatal noninvasive and invasive aneuploidy testing. See the related article by Mulla et al (August 2018 issue). Video created by Karen O'Brien, MD, Karen Marchand, MS, and Tom Laws. Used with permission.

Play Video | + Favorites

Scanning a phantom using an endoluminal 3-dimensional ultrasonography machine.

Creator: S Abbas Shobeiri and Mehrsa Jalalizadeh

Duration: 5:44

This is a demonstration of using pelvic floor phantoms in teaching endoluminal 3-dimensional pelvic floor ultrasonography. The trainees are instructed to scan the phantom and find the anatomical and pathological landmarks as shown in the video. See the related article by Jalalizadeh et al (XXX 2018 issue). Video created by S Abbas Shobeiri and Mehrsa Jalalizadeh. Used with permission.

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The Hale Lecture, Herbert B. Peterson, MD.

Creator:

Duration: 28:55

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Positive sliding sign

Creator: Ori Shen, MD

Duration: 0:08

This clip demonstrates motion between the maternal abdominal and anterior uterine walls. See the related article by Drukker et al (March 2018 issue). Video created by Ori Shen, MD. Used with permission.

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Negative sliding sign

Creator: Ori Shen, MD

Duration: 0:10

This clip demonstrates lack of motion between the maternal abdominal and anterior uterine walls. See the related article by Drukker et al (March 2018 issue). Video created by Ori Shen, MD. Used with permission.

Play Video | + Favorites

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.

Play Video | + Favorites

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.

Play Video | + Favorites

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.

Play Video | + Favorites

Resident guide to using the decision aid for opioid prescribing after hysterectomy

Creator: Annmarie Vilkins, DO

Duration: 4:31

Play Video | + Favorites

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).

Play Video | + Favorites

Vaginal Hysterectomy Surgical Skills Curriculum

Creator: Sunil Balgobin and Chris Caudle

Duration: 3:21

Declining vaginal hysterectomy numbers in Obstetrics and Gynecology training programs highlights the need for innovative methods to teach vaginal surgical skills. Unfortunately, simple inexpensive vaginal hysterectomy models are difficult to construct due to complex pelvic anatomy and the unique vaginal surgical field. The objective of this video is to demonstrate construction of a low-cost, low-fidelity vaginal hysterectomy suturing skills bench model to simulate the Heaney pedicle stitch, simple pedicle stitch, double ligature, and continuous running stitch.

Play Video | + Favorites

Tissue Model for Laparoscopic Colpotomy Simulation

Creator: Maureen Cho, Clarissa Lam, Veronica Lerner

Duration: 6:56

Laparoscopic hysterectomy is challenging to teach, and colpotomy is considered to be one of the most challenging steps. We have developed a low-cost partial task trainer to teach the colpotomy portion of a laparoscopic hysterectomy. The model consists of porcine stomach attached to a uterine manipulator, and a reusable uterus replica. Video consists of how-to step-by-step instructions to create the model and demonstrates is use in different settings. Video created by Maureen Cho, Clarissa Lam, Veronica Lerner. Used with permission.

Play Video | + Favorites

Trans-Umbilical Vaginoplasty through Fractionated Mini-Ports; A suture-less procedure

Creator: Ali M. El Salman

Duration: 3:19

This video demonstrates a minimally invasive technique using micro port entry for treatment of complete vaginal agenesis (see the related article by El Saman et al in the July 2019 issue). Video created by Ali M. El Saman; MD. Used with permission.

Play Video | + Favorites

The Shoulder Shrug Maneuver

Creator: Ricardo Leante, MS

Duration: 1:39

The video highlights a new technique to facilitate delivery during shoulder dystocia. See the related article by Sancetta et al (June 2019 issue). Video created by Ricardo Leante, MS. Used with permission.

Play Video | + Favorites

Development and hierarchical task analysis of a robotic pelvic surgery training model.

Creator: Sonia Parra

Duration: 5:48

This video highlights the development and use of a dry lab pelvic model to simulate minimally invasive sacrocolpoepy with a focus on presacral dissection and vaginal and presacral suture placement. See the related article by Myers et al (May 2019 issue). Video created by Erinn Myers, MD, Megan Tarr, MD, MS, Brittany Anderson-Montoya, PhD, Charles Whitley, and Kevin Stepp, MD. Used with permission.

Play Video | + Favorites

Three-dimensional printed uterine model, bivalved.

Creator: Amy Mackey, MD, Philip Lim, MD, and Robert Pugliese, PharmD

Duration: 0:54

This video shows the final three-dimensional printed uterine model with myomas shown in red. The model is bivalved and myomas impinging on the internal cavity can be seen on the inner surface of the model. The placenta is also shown in red. See the related article by Mackey et al (April 2019 issue). Video created by Amy Mackey, MD, Philip Lim, MD, and Robert Pugliese, PharmD. Used with permission.

Play Video | + Favorites

Low-cost Universal Cervical cancer Instructional Apparatus (LUCIA) demonstration video.

Creator: Sonia Parra

Duration: 3:07

A live demonstration of how to use the LUCIA model for cervical cancer prevention training. See the related article by Parra et al (March 2019 issue). Video created by Sonia Parra. Used with permission.

Play Video | + Favorites

Riboflavin for cystoscopy

Creator: Michael L. Stitely, MD

Duration: 0:22

This cystoscopy video demonstrates the effect of oral administration of 400mg of riboflavin the night prior to gynecological surgery with planned intraoperative cystoscopy. The strong yellow coloration of the urine is seen with the ureteric jet from each ureter. See the related article by Stitely et al (XXX 2019 issue). Video created by Michael L. Stitely, MD. Used with permission.

Play Video | + Favorites

Cesarean delivery incision technique for the obese parturient

Creator: Nisha Lakhi, MD

Duration: 5:25

Demonstration of technique on a woman aged 32 years gravida eight para seven with a body mass index of 48.5 and a history of four previous cesarean deliveries. See the related article by Lakhi et al (September 2018 issue). Video created by Nisha Lakhi, MD. Used with permission.

Play Video | + Favorites

Salpingectomy during vaginal hysterectomy.

Creator: Michel Cosson, MD, PhD

Duration: 4:38

After posterior rotation of the uterus, the authors removed the fallopian tube before separation of the adnexa. See the related article by Giraudet et al (August 2018 issue). Video created by Michel Cosson, MD, PhD. Used with permission.

Play Video | + Favorites

Testing for chromosomal abnormalities.

Creator: Karen O'Brien, MD, Karen Marchand, MS, and Tom Laws

Duration: 15:48

This video provides information on the basics of genetics, common chromosomal abnormalities, and options for prenatal noninvasive and invasive aneuploidy testing. See the related article by Mulla et al (August 2018 issue). Video created by Karen O'Brien, MD, Karen Marchand, MS, and Tom Laws. Used with permission.

Play Video | + Favorites

Scanning a phantom using an endoluminal 3-dimensional ultrasonography machine.

Creator: S Abbas Shobeiri and Mehrsa Jalalizadeh

Duration: 5:44

This is a demonstration of using pelvic floor phantoms in teaching endoluminal 3-dimensional pelvic floor ultrasonography. The trainees are instructed to scan the phantom and find the anatomical and pathological landmarks as shown in the video. See the related article by Jalalizadeh et al (XXX 2018 issue). Video created by S Abbas Shobeiri and Mehrsa Jalalizadeh. Used with permission.

Play Video | + Favorites

Positive sliding sign

Creator: Ori Shen, MD

Duration: 0:08

This clip demonstrates motion between the maternal abdominal and anterior uterine walls. See the related article by Drukker et al (March 2018 issue). Video created by Ori Shen, MD. Used with permission.

Play Video | + Favorites

Negative sliding sign

Creator: Ori Shen, MD

Duration: 0:10

This clip demonstrates lack of motion between the maternal abdominal and anterior uterine walls. See the related article by Drukker et al (March 2018 issue). Video created by Ori Shen, MD. Used with permission.

Play Video | + Favorites

Internal podalic version and breech extraction: enhancing realistic sensations in a simulation model.

Creator: Carolina van Hamont

Duration: 6:56

Presentation of a simulation model and maneuvers of breech extraction. See the related article by Cornette and Erkamp (February 2018 issue). Video created by Carolina van Hamont. Used with permission.

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Internal podalic version.

Creator: Sophia TV

Duration: 4:27

Presentation of maneuvers on a simulation model. See the related article by Cornette and Erkamp (February 2018 issue). Video created by Sophia TV. Used with permission.

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Vaginal Hysterectomy (ewe and human)

Creator: Y. Kerbage, MD, and V. Deffaux

Duration: 4:11

This video outlines the similarity among the surgical anatomies between ewes and women. The protocol was approved by the authors’ Regional Animal Use Committee. See the related article by Kerbage et al (December 2017 issue). Video created by Y. Kerbage, MD, and V. Deffaux. Used with permission.

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A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse

Creator: Emily RW Davidson, MD

Duration: 3:16

Video case report describing a large vaginal mass presenting as prolapse. See the related article by Davidson and Barber (November 2017 issue). Video created by Emily RW Davidson, MD. Used with permission.

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Dual-Force Balloon Vaginoplasty for Lower Vaginal Aplasia

Creator: Ali M. El Saman, MD, and Dina A. El Saman, MS

Duration: 4:06

The video describes the instrumentation and technical points for treatment of segmental vaginal aplasia with upper hematocolpos. A balloon catheter was prepared and inserted into the distended vaginal pouch to pull it down against a Teflon olive placed at vaginal dimple. Hysteroscopy was used to accelerate wash out of the retained blood and to confirm appropriate catheter placement. See the related article by El Saman et al (May 2017 issue). Video created by Ali M. El Saman, MD, and Dina A. El Saman, MS. Used with permission.

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Fetoscopic Open Neural Tube Defect Repair

Creator: Mr. Wally Crow

Duration: 6:19

This video shows the initial and final (standardized) fetoscopic repair techniques employed by the team at Texas Children's Hospital to effect fetal open neural tube defect repair. See the related article by Belfort et al (April 2017) issue. Video created by Mr. Wally Crow. Used with permission.

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Modified Beef Tongue Model for Fourth-Degree Laceration Repair Simulation

Creator: Dr. Jana D. Illston, Dr. Alicia C. Ballard, Dr. David R. Ellington, and Dr. Holly E. Richter

Duration: 6:59

This video illustrates creation of a modified beef tongue model using animal tissue for simulation of fourth-degree laceration repair. See the related article by Illston et al (March 2017 issue). Video created by Dr. Jana D. Illston, Dr. Alicia C. Ballard, Dr. David R. Ellington, and Dr. Holly E. Richter. Used with permission.

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Lung Ultrasonography for Detection of Pulmonary Edema in Pregnancy

Creator: Sarah Pachtman, MD

Duration: 0:24

Lung ultrasonogram showing findings consistent with normal lung in the first half and pulmonary edema in the second half of the video. The pleural line and rib shadows are labeled by arrows. In the first 12 seconds A-lines are present that are indicative of normally aerated lung. In the last 12 seconds, multiple B-lines are visible that are indicative of pulmonary edema in a case of preterm hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. See the related article by Pachtman et al (XXX 2017 issue). Video created by Sarah Pachtman, MD. Used with permission.

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Female Genital Mutilation: A Visual Reference and Learning Tool for Health Care Professionals

Creator: Jasmine Abdulcadir

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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Anterior Colpotomy and Vesicocervical Space for Vaginal Hysterectomy

Creator: Sunil Balgobin, MD and Marlene M. Corton, MD, MSCS

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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Reverse vesicouterine fold dissection.

Creator: Dr. Camran Nezhat

Duration: 6:04

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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Salpingo-oophorectomy by transvaginal natural orifice transluminal endoscopic surgery (NOTES).

Creator: Dr. Karl Jallad

Duration: 6:44

The following footage demonstrates a technique to perform a salpingo-oophorectomy by natural orifice transluminal endoscopic surgery (NOTES). A single port is placed in the vagina and after achieving pneumoperitoneum, an endoscope is introduced to survey the abdomen and pelvis. The salpingo-oophorectomy is then completed under direct visualization by using conventional laparoscopic instruments through the vaginal port. Video created by Karl Jallad. Used with permission. See the related article by Jallad et al (August 2016 issue). Video created by Karl Jallad. Used with permission.

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Animated simulation of vacuum-induced uterine tamponade for treatment of postpartum hemorrhage

Creator: Marily Mallison

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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Vaginal hysterectomy.

Creator: Dr. Karl Jallad

Duration: 12:13

Vaginal hysterectomy is the preferred route of hysterectomy for benign disease. It is associated with a shorter recovery, fewer complications, less cost and better cosmetic results than other types of hysterectomy. The objective of this video is to make vaginal hysterectomy approachable by showing the key procedural steps. Courtesy of Karl Jallad. Used with permission.

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Video Abstract: From Gestational Hypertension and Preeclampsia to Atypical Hemolytic Uremic Syndrome

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.

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Video Abstract: Catecholaminergic polymorphic ventricular tachycardia in pregnancy.

Creator: Dr. Matthew Romagano

Duration: 2:28

Dr. Matthew Romagano summarizes his case report on catecholaminergic polymorphic ventricular tachycardia in pregnancy in the April, 2016 issue of the Obstetrics & Gynecology.

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Modified open laparoscopy using a 5-mm laparoscope

Creator: William W. Hurd, MD

Duration: 2:08

Demonstration of a 5-mm modified open laparoscopic entry technique that minimizes some of the disadvantages of conventional 10-mm open techniques while avoiding blind placement of sharp instruments. See the related article by Pryor and Hurd (March 2016 issue). Video courtesy of William W. Hurd, MD.

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Cystoscopy with dextrose as the distension medium

Creator: Deepa M. Narasimhulu, MD

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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Video Imaging Telescopic Microscope (VITOM®HD) utilization for vaginal surgery

Creator: Gerald B. Taylor, MD

Duration: 4:48

This video demonstrates the utilization of the Video Telescopic Operating Microscope (VITOM®HD) imaging system for imaging and illumination during vaginal surgery. The imaging system setup and images produced during a vaginal hysterectomy, release of vaginal scar, and sling procedure are highlighted. See the related article by Taylor and Myers (XXX 2015 issue). Video courtesy of Gerald B. Taylor, MD.

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Removal of deeply inserted etonogestrel implant with modified vasectomy clamp

Creator: Melissa J. Chen, MD, MPH

Duration: 1:01

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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Video Abstract: A Pregnant Patient With Ebola Virus Disease

Creator: Titilope Oduyebo, MD, MPH

Duration: 4:16

Ebola: Dr. Titilope Oduyebo presents a case of a pregnant woman with Ebola virus disease and stillbirth in Sierra Leone. See the related article by Oduyebo et al (http://journals.lww.com/greenjournal/Abstract/publishahead/A_Pregnant_Patient_With_Ebola_Virus_Disease_.98946.aspx). Video courtesy of Titilope Oduyebo, MD, MPH. Used with permission.

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2 port, in-CO2 fetoscopic meningomyelocele repair

Creator: Mr. Wally Crow, Texas Children's Hospital

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.

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Whirlpool sign in a case of ovarian torsion

Creator: Ron Bardin, MD

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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Minilaparoscopic single site total hysterectomy.

Creator: Dr. Stefano Uccella, MD, PhD

Duration: 1:34

The technique for minilaparoscopic single site hysterectomy is here shown. A uterine manipulator is placed transvaginally and two 3-mm trocars are inserted at the umbilical level. Standard steps for total laparoscopic hysterectomy are followed. The entire operation is accomplished using only reusable instruments and all the uterine vascular pedicles are coagulated using 3-mm bipolar coagulation. Colpotomy is performed using monopolar cautery and the specimen is extracted through the vagina. The cuff is sutured transvaginally. The operation is terminated leaving only a very small umbilical incision. See the related article by Uccella et al (July 2015 issue).

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Laparoscopic enclosed power morcellation using a surgical glove

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).

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Video Abstract: Bowel Perforation after Placement of Tubal Occlusion Contraceptive

Creator: Dr. Kristin Riley

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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Sodium fluorescein use during intraoperative cystoscopy

Creator: Paula Doyle, MD and Ronald Wood, PhD

Duration: 0:20

Use of 0.25 mL of 10% sodium fluorescein intravenously during intraoperative cystoscopy for visualization of ureteral efflux. See the related article by Doyle et al (March 2015 issue).

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Endometrial aspiration in presence of a polyp

Creator: Ohad Rotenberg, MD

Duration: 0:10

Video demonstration of the maneuvering of the catheter for direct aspiration of a polyp tissue. See the related article by Rotenberg et al (February 2015 issue).

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Endometrial aspiration at time of saline infusion sonohysterography

Creator: Ohad Rotenberg, MD

Duration: 0:10

Video depiction of endometrial aspiration at the conclusion of a saline-infusion sonohysterography procedure. Initially, the catheter edge is seen at the fundus. After negative pressure is applied by using a 20cc syringe, the catheter is slowly withdrawn pulling endometrial tissue with it. A thinner endometrium is seen at the end of the aspiration. See the related article by Rotenberg et al (February 2015 issue).

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Modified McIndoe procedure (part I)

Creator: Aubrey Rauktys, MD

Duration: 5:01

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).

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Modified McIndoe procedure (part II)

Creator: Aubrey Rauktys, MD

Duration: 4:55

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).

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Transcervical intralesional vasopressin injection and its effects during hysteroscopic myomectomy

Creator: Alyssa Sze Wai Wong, MD

Duration: 00:50

Vasopressin injection was performed with an ovum aspiration needle through the operating channel of a diagnostic hysteroscope to exert local vasoconstrictive effect. After cervical dilatation, a resectoscope is then used to complete the hysteroscopic myomectomy. See the related article by Wong et al (November 2014 issue).

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Laparoscopically Assisted Myomectomy

Creator: Ceana Nezhat, MD

Duration: 0:27

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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Enclosed Transvaginal Morcellation of an Enlarged Uterus after Total Laparoscopic Hysterectomy and Bilateral Salpingo-oophorectomy

Creator: Ceana Nezhat, MD

Duration: 4:09

In this video we demonstrate transvaginal extracorporeal morcellation of a large uterus within an enclosed endoscopic bag. See the related article by Kho et al (October 2014 issue).

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Contained Power Morcellation at Laparoendoscopic Single Site Hysterectomy within an Insufflated Isolation Bag

Creator: KA Shibley

Duration: 6:47

Demonstrates the single-site technique for use of an insufflated isolation bag at time of power morcellation of uterine tissue See the related article by Cohen et al (September 2014 issue).

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Real-time ultrasound of fetal diphallia

Creator: Jin-Chung Shih, MD, PhD

Duration: 0:12

The urethras of these two phalluses seem to separately connect with the distal portion of the bladder. See the related article by Tu et al (August 2014 issue).

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High-Resolution Anoscopy

Creator: Adam C. ElNaggar, MD, Wendy Likes PhD, DNSc, APRN-Bc, Dianne Robbins, RN, Edwin Thorpe, MD

Duration: 2:58

High-resolution anoscopy is used for the detection of anal intraepithelial neoplasia. This video depicts important landmarks of the anal canal and pathologic features of anal intraepithelial neoplasia. Video courtesy of Dr. Adam ElNaggar. Used with permission. See the related article by ElNaggar and Santoso, Obstet Gynecol 2013;122:218-23.

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The Office Visceral Slide Test

Creator: Erica C. Dun, MD, MPH

Duration: 1:30

The office visceral slide test is an outpatient ultrasound test used to preoperatively predict intra-abdominal adhesions. This short video clip will explain the equipment needed, how to perform, and how to interpret the visceral slide test. An example of a normal test and an abnormal ultrasound visceral slide test are illustrated, including a laparoscopic view of the patient with an abnormal test. Video courtesy of Erica C. Dun, MD, MPH. Used with permission. See the related article by Nezhat et al (May 2014 issue).

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Selective embolization of the uterine artery pseudonaeurysm

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: 0:08

Selective embolization of the uterine artery pseudonaeurysm with N-butyl cyanoacrylate (Histoacryl®) / Lipiodol® mixture). Note the moving fetal bones during the procedure. 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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Balloon-occluded Retrograde Transvenous Obliteration for Uterine Arteriovenous Malformation

Creator: Video courtesy of: Mitsuhiro Kishino, Naoyuki Miyasaka, Yuko Takeguchi, and Isamu Ohashi.

Duration: 1:09

Balloon-occluded retrograde transvenous obliteration for uterine arteriovenous malformation. Video courtesy of: Mitsuhiro Kishino, Naoyuki Miyasaka, Yuko Takeguchi, and Isamu Ohashi.

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Demonstration of protocol for measuring cervical length

Creator: Video courtesy of Nir Melamed, Liran Hiersch, Noam Domniz, Akiva Maresky, Ron Bardin, and Yariv Yogev

Duration: 0:30

Demonstration of protocol for measuring cervical length. Video courtesy of Nir Melamed, Liran Hiersch, Noam Domniz, Akiva Maresky, Ron Bardin, and Yariv Yogev.

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Michigan Four-Wall Sacrospinous Ligament Suspension for Vaginal Vault Prolapse

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.

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Ovarian abnormalities followed with serial transvaginal ultrasonography

Creator: Dr. Edward J. Pavlik

Duration: 5:27

In the first part of the video, examples of ultrasonographic abnormalities are presented. In the second part, the authors show examples of the last abnormal morphologies before resolving to normal ovarian morphologies.

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Pelvic organ support changes during pregnancy.

Creator: Jette Stær-Jensen, MD

Duration: 0:44

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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LeFort Colpocleisis

Creator: Dr. Leon N. Plowright and Dr. G. Willy Davila

Duration: 9:31

LeFort colpocleisis. See the related article by Zebede et al.

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Outpatient Vaginal Hysterectomy: Tactics to Facilitate Same-Day Discharge

Creator: Dr. Mark Zakaria and Dr. Barbara Levy

Duration: 2:10

Outpatient vaginal hysterectomy: tactics to help facilitate same-day discharge. See the related article by Zakaria and Levy.

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Endometrial polypectomy using a 16-French resectoscope

Creator: Dr. Maurizio Guido

Duration: 4:40

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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Robotic Surgical Management of Endometrial Cancer, Part 1 of 2

Creator: Drs. Susie Lau and Walter H. Gotlieb

Duration: 3:43

Robotic surgical treatment of a patient with endometrial cancer. See the related article by Lau et al.

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Robotic Surgical Management of Endometrial Cancer, Part 2 of 2

Creator: Drs. Susie Lau and Walter H. Gotlieb

Duration: 3:47

Robotic surgical treatment of a patient with endometrial cancer. See the related article by Lau et al.

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Pessary Position

Creator: Patrick J. Culligan, M.D.

Duration: 0:16

Ring with support pessary and Gellhorn pessary shown in “realistic” position with the patient upright. Animation courtesy of Tim Peters & Co. See the related Clinical Expert Series article by Culligan.

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Fundal Myometrial Thickness Measurement

Creator: Katherine H. Campbell, Mert O. Bahtiyar, and Catalin S. Buhimschi

Duration: 1:00

Ultrasonographic evaluation of myometrial thickness to predict success for external cephalic version. Video courtesy of Drs. Campbell, Bahtiyar, and Buhimschi. See the related article by Buhimschi et al.

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Part 1: Laparoscopic techniques for excision of endometriosis

Creator: Tommaso Falcone, MD

Duration: 7:00

Minimally invasive conservative surgical treatment of endometriosis. Video courtesy of Dr. Tommaso Falcone. See the related article by Falcone and Lebovic in the September 2011 issue.

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Part 2: Laparoscopic techniques for excision of endometriosis

Creator: Tommaso Falcone, MD

Duration: 6:43

Minimally invasive conservative surgical treatment of endometriosis. Video courtesy of Dr. Tommaso Falcone. See the related article by Falcone and Lebovic in the September 2011 issue.

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Single-Port Laparoscopic-Assisted Vaginal Hysterectomy

Creator: Dr. Yi-Jen Chen and co-authors

Duration: 2:57

A demonstration of the insertion of the retractor and ports, hysterectomy, and dissection of cul de sac adhesions. Video courtesy of Dr. Yi-Jen Chen and co-authors.

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Robotic Myomectomy for Intramural Leiomyomata

Creator: Gouri Diwadkar, MD, and Tommaso Falcone, MD

Duration: 7:45

A demonstration of the technique of robotic myomectomy for intramural leiomyomata. Video courtesy of Drs. Gouri Diwadkar and Tommaso Falcone.

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Laparoscopic treatment of torsion of an accessory ovary

Creator: Dr. SF Ngu et al.

Duration: 0:57

A demonstration of laparoscopic treatment of torsion of an accessory ovary containing a cystic mass. Video courtesy of Drs. SF Ngu, HLT Wan, YS Tam, and VYT Cheung.

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Laparoscopic Salpingostomy for Ectopic Pregnancy

Creator: Dr. Demetrio Larrain, Dr. Benoit Rabischong et al.

Duration: 3:39

Demonstration of laparoscopic salpingostomy for ectopic pregnancy. Video courtesy of Dr. Demetrio Larrain, Dr. Benoit Rabischong, and co-authors.

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Use of FloSeal in postpartum hemorrhage due to placenta previa

Creator: Dr. Lai Wa Law

Duration: 1:00

Demonstration of the use of FloSeal hemostatic gel for intraoperative management of postpartum hemorrhage due to placenta previa. Video courtesy of Dr. Lai Wa Law and co-authors.

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Uterine artery resistance index and preeclampsia

Creator: Dr. Aris T. Papageorghiou

Duration: 0:17

Second trimester ultrasound measurement of uterine artery resistance index for prediction of preeclampsia. Video courtesy of Dr. Papageorghiou. See the related article by Thilaganathan et al.

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Using Middle Cerebral Artery Peak Systolic Velocity to Time In Utero Transfusions

Creator: Prof. Bruno Carbonne

Duration: 2:05

Middle cerebral artery peak systolic velocity was used to time in utero transfusions in fetomaternal hemorrhage. Video courtesy of Prof. Carbonne. See the related article by Friszer et al.

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Office Hysteroscopic Sterilization

Creator: Scott Chudnoff, MD

Duration: 5:58

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).

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Fetal Aortic Intima Media Thickness

Creator: Erich Cosmi, MD

Duration: 0:15

Sonographic measurement of fetal aortic intima media thickness and aortic diameter. Video courtesy of Dr. Erich Cosmi. See the related article by Cosmi et al (Obstet Gynecol 2009;114:1109–14).

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2008 Stump the Professors Scientific Session: "What is the P in PID?"

Creator: Valerie I. Shavell, MD.

Duration: 20:21

2008 Stump the Professors presentation by Valerie I. Shavell, MD. See the related article by Shavell et al (Obstet Gynecol 2009;113:522-5).

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Ductus Venosus Doppler

Creator:

Duration: 2:22

The first segment of the video shows animated anatomy of the fetal circulation, highlighting the ductus venosus. The next segment shows a sonographic view of ductus venosus blood flow in a first-trimester fetus. The third segment shows normal ductus venosus blood flow velocity waveforms. The last segment shows reversed a-wave blood flow. Video courtesy of the Fetal Medicine Foundation. See the related article by Maiz et al (Obstet Gynecol 2009;113:860-5).

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Botox Bladder Injections

Creator:

Duration: 0:31

Cystoscopic intradetrusor injection of botulinum neurotoxin type A for treatment of non-neurogenic overactive bladder. Video courtesy of Dr. Thomas Kessler. See the related article by Kessler et al (Obstet Gynecol 2009;113:1046-51).

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Measurement of the levator hiatus

Creator: Ka Lai Shek

Duration: 1:11

Translabial three-dimensional sonogram showing the technique for identifying and measuring the levator hiatus. The shortest anterior-posterior distance between the symphysis pubis and the pubovisceral muscle in the mid-sagittal view is identified. The oblique axial image in this plane is used for the hiatal measurement. Video courtesy of Dr. Ka Lai Shek. See the related article by Shek et al (2009;113:1272-8).

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Vaginal Surgical Skills

Creator: Gouri B. Diwadkar, MD

Duration: 1:37

Assessment of vaginal surgical skills using video motion analysis. Video courtesy of Dr. Gouri B. Diwadkar. See the related article by Diwadkar et al (Obstet Gynecol 2009;114:244-52).

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Weight, Weight—Don’t Tell Me!

Creator: The American College of Obstetricians and Gynecologists.

Duration: 18:56

2009 Stump the Professors presentation by Brian M. Burton, MD of the University of Arkansas for Medical Sciences, Little Rock, AR. See the related editorial by James R. Scott, MD (Obstet Gynecol 2009;114:413-4).

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Hook, Line, and Sinker

Creator: The American College of Obstetricians and Gynecologists.

Duration: 19:08

2009 Stump the Professors presentation by Beth M. Lewkowski, MD of Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, MO. See the related editorial by James R. Scott, MD (Obstet Gynecol 2009;114:413-4).

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