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| Name | Multidisciplinary Surgical Approach to Invasive Placentation |
| Video Uploader | Video From CanSAGE Secretariat |
| Upload Date | This Video Uploaded At 15-04-2024 21:16:15 |
| Video Discription | This video details a multidisciplinary surgical approach for managing invasive placentation, focusing on antenatal care, operating room preparation, and the execution of a Caesarean hysterectomy. It highlights the collaborative efforts of various specialists, including maternal-fetal medicine, surgical gynecology, and anesthesia, to optimize outcomes through precise surgical techniques and careful perioperative planning. See full transcript here: https://cansagevideosstaging.com/multidisciplinary-surgical-approach-to-invasive-placentation/ Presented By Dr. Devon Evans Dr. Ari Sanders Dr. Lisa Allen Dr. John Kingdom Dr. Rory Windrim Dr. Ally Murji Affiliations University of Toronto, Mount Sinai Hospital Timestamps (00:10) Objectives (00:14) Antenatal Care (00:48) OR Setup (02:02) Key Steps for Cesarean Hysterectomy (02:28) Procedure Video: Midline Laparotomy (02:38) Procedure Video: Intraoperative Ultrasound (02:45) Procedure Video: Classical Hysterotomy (03:23) Procedure Video: Internal Iliac Artery Litigation (04:13) Procedure Video: Bladder Dissection (05:58) Colpotomy (06:27) Postoperative Care The video presented by the minimal invasive team at Laval University Hospital offers a comprehensive overview of handling invasive placentation through a multidisciplinary surgical approach. The process starts with meticulous antenatal care where patients are monitored and evaluated using advanced diagnostic techniques such as ultrasound and MRI, managed by a team comprising maternal-fetal medicine, surgical gynecology, and diagnostic radiology. This early intervention helps in planning for a scheduled delivery between 34 to 36 weeks, incorporating consultations from pediatric and anesthesia specialists to ensure all possible complications are preemptively addressed. In the operating room, detailed preparation is emphasized, from the setup of equipment and instruments like the cell saver and hysterectomy trays to the strategic positioning of the patient to facilitate access during surgery. The video breaks down the surgical procedure into six key steps, including midline laparotomy, use of intraoperative ultrasound to define placental boundaries, and specific surgical techniques like classical hysterotomy and prophylactic internal iliac artery ligation, aimed at minimizing blood loss and ensuring the safety of both mother and child. Ureterolysis and bladder dissection are performed with high precision to prevent injury and manage the invasive placenta effectively. Postoperative care is standardized to monitor the patient closely in the immediate aftermath of the surgery, emphasizing early mobilization and aiming for a quick recovery and discharge. The video underscores the importance of teamwork and expert coordination among the various disciplines involved, illustrating the critical roles they play in managing the complex challenges posed by invasive placentation, ultimately enhancing patient outcomes through skillful and integrated care practices. |
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