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| Name | canadian surgeons demonstrate 101 ways to close a cuff 480p |
| Video Uploader | Video From CanSAGE Secretariat |
| Upload Date | This Video Uploaded At 29-07-2023 18:42:56 |
| Video Discription | This video from the University of Ottawa highlights various techniques for laparoscopic closure of the vaginal cuff during hysterectomy, showcasing methods like intra-corporeal and extra-corporeal knots, knotless barbed sutures, and innovative variations. View full transcript: https://cansagevideos.com/canadian-surgeons-demonstrate-101-ways-to-close-a-cuff Presented by Dr. Alysha Nensi Dr. Mara Sobel Dr. Ally Murji Affiliations University of Toronto Timestamps (00:20) Variation in Techniques For Laparoscopic Closure of Vaginal Cuff (00:33) Complications (01:05) Surgical Considerations (01:26) Techniques (01:40) Intracorporeal Knots (01:53 - 03:52) Extracorporeal Knots (04:08 - 07:17) Procedure Video (07:18) Summary The University of Ottawa presents an educational video demonstrating different techniques for laparoscopic closure of the vaginal cuff during total laparoscopic hysterectomy. Given the rise in laparoscopic procedures in Canada, this video aims to showcase the diversity of methods used by minimally invasive gynecologists across the country. Closure of the vaginal cuff is a complex task due to risks such as dehiscence, infection, hematoma, and tissue damage. The approach taken can be influenced by patient factors like age, BMI, and comorbidities, as well as surgeon expertise and available resources. The video categorizes techniques into intra-corporeal knots, extra-corporeal knots, knotless barbed sutures, and other innovative variations. Intra-corporeal knots, which include figure-of-eight and horizontal mattress sutures, are highlighted for their cost-effectiveness and proven efficacy. Extra-corporeal knots, such as the Roeder slip knot, are shown to be efficient and a good practice for trainees. The knotless barbed suture technique is noted for its widespread use due to its self-anchoring properties, reducing the need for knots and distributing tension uniformly along the suture line. Additionally, the video illustrates innovative techniques combining elements like securing the ipsilateral corner with a figure-of-eight stitch followed by continuous closure with a barbed suture. This variety in methods reflects the adaptability and creativity of surgeons in managing the biomechanical challenges of vaginal cuff closure, ensuring optimal patient outcomes. |
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