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

A narrated laparoscopic tubal ligation using a Fallope ring is shown in this gynecology video. The surgeon lifts the fallopian tube and applies the ring to a loop of tube, with the ovary and uterus in view. It is presented for education in sterilization procedures. The procedure is shown in under a minute in total.

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

Surgical repair of a cystocele, a prolapse of the bladder into the vaginal wall, is shown in this gynecology video. The recording presents the operative correction of this pelvic floor condition. It is an educational resource for students of gynecological surgery. The recording is intended for education only and not as guidance for any individual case.

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)

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

The second stage of labour — from full cervical dilatation to the birth of the baby — is the subject of this obstetrics teaching video. It covers how this stage is monitored and managed by the birth team. A core learning resource for midwifery and medical students. For learning purposes only — not medical advice.

Fundal examination in gynecology is shown in this very brief clinical clip. The recording presents assessment of the uterine fundus as part of a routine examination. It is a short educational example for students learning obstetric and gynecological physical examination and assessment skills.

This video clips shows a tubal ligation (sterilization) performed on a female using a fallopian ring applicator