Vaginal hysterectomy rates in the United States are decreasing, despite it being the
recommended hysterectomy route for benign hysterectomy by multiple societies. Visualization
issues are a known barrier to a medical student learning in the operating room, and
it is likely that this also extends to resident training. In addition, vaginal surgery
can be taxing on both the surgeons and assistants, with high rates of musculoskeletal
work disorders reported in vaginal surgeons. The use of a camera is integral to endoscopic
surgery, and table-mounted retractor systems have been used for decades in open surgery.
We bring these 2 features into vaginal surgery, that is, using a table-mounted camera
system and a table-mounted vaginal retractor. When used together as demonstrated in
this video, these tools can improve visualization and may improve ergonomics for the
entire surgical team, including learners, during vaginal surgery.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to American Journal of Obstetrics & GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- 444: choosing the route of hysterectomy for benign disease.Obstet Gynecol. 2009; 114: 1156-1158
- AAGL position statement: route of hysterectomy to treat benign uterine disease.J Minim Invasive Gynecol. 2011; 18: 1-3
- Hysterectomy volume among recent obstetrics and gynecology residency graduates.Female Pelvic Med Reconstr Surg. 2020; ([Epub ahead of print])
- Trends in inpatient and outpatient hysterectomy and oophorectomy rates among commercially insured women in the united states, 2000–2014.JAMA Surg. 2016; 151: 876-877
- Undergraduate medical students’ perceptions and expectations of theatre-based learning: how can we improve the student learning experience?.Surgeon. 2007; 5: 271-274
- Student-perceived benefit from otolaryngology theatre attendance.J Laryngol Otol. 2005; 119: 293-298
- Learner satisfaction and experience with a high-definition telescopic camera during vaginal procedures: a randomized controlled trial.Female Pelvic Med Reconstr Surg. 2019; ([Epub ahead of print])
- Backache in gynaecologists.Occup Med (Lond). 2001; 51: 433-438
- Work-related musculoskeletal disorders among vaginal surgeons.Int Urogynecol J. 2013; 24: 1191-1200
Article Info
Publication History
Published online: July 18, 2020
Accepted:
July 15,
2020
Received in revised form:
June 11,
2020
Received:
April 6,
2020
Footnotes
R.M.K. is an author contributor to UptoDate. K.L.W. reports no conflict of interest.
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
