Article Type
Video
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Tue, 08/28/2018 - 11:04
Display Headline
The Extracorporeal C-Incision Tissue Extraction (ExCITE) technique
Author(s)
Mireille D. Truong, MD
Arnold P. Advincula, MD

As a result of recent concerns regarding the use of power morcellation, clinicians have been faced with the need to develop alternative techniques for contained tissue extraction during minimally invasive gynecologic procedures such as myomectomy and hysterectomy.

The following video represents a refined and reproducible approach that incorporates a containment bag (Anchor Medical) and a self-retaining retractor (Applied Medical) in order to meet the following objectives:

  1. tissue extraction without the need for power morcellation
  2. specimen containment to avoid intraperitoneal spillage
  3. ability to continue to offer minimally invasive surgical options to patients through a safe and standardized approach to tissue extraction.

The example case is real-time, contained, intact removal of an 8-cm, 130-g fibroid.

 

Vidyard Video

 

I hope you enjoy the featured opening session on best tissue extraction standards at the AAGL Global Congress on Minimally Invasive Gynecology in ­Vancouver and stop by to visit me at the OBG Management booth.

  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair

 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

Author and Disclosure Information

Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Truong reports no financial relationships relevant to this article. Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, and Surgiquest and receiving royalties from CooperSurgical.

Issue
OBG Management - 26(11)
Publications
MDedge ObGyn
OBG Management
Topics
Menopause
Surgery
Page Number
56
Legacy Keywords
Arnold P. Advincula MD, Mireille D. Truong MD, minimally invasive tissue extraction, video series, power morcellation, minimally invasive gynecologic surgery, containment bag, Anchor Medical, self-retaining retractor, Applied Medical, specimen containment, intraperitoneal spillage, fibroid, AAGL, Video Channel
Sections
Arnold Advincula's Surgical Techniques
Author(s)
Mireille D. Truong, MD
Arnold P. Advincula, MD
Author(s)
Mireille D. Truong, MD
Arnold P. Advincula, MD
Author and Disclosure Information

Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Truong reports no financial relationships relevant to this article. Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, and Surgiquest and receiving royalties from CooperSurgical.

Author and Disclosure Information

Dr. Truong is Fellow in Minimally Invasive Gynecologic Surgery, Columbia University Medical Center, New York, New York.

Dr. Advincula is Levine Family Professor of Women’s Health, Vice-Chair, Department of Obstetrics and Gynecology, and Chief of Gynecology, Sloane Hospital for Women, Columbia University Medical Center, New York, New York. He also serves on the OBG Management Board of Editors.

Dr. Truong reports no financial relationships relevant to this article. Dr. Advincula reports being a consultant to Blue Endo, CooperSurgical, Intuitive Surgical, and Surgiquest and receiving royalties from CooperSurgical.

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As a result of recent concerns regarding the use of power morcellation, clinicians have been faced with the need to develop alternative techniques for contained tissue extraction during minimally invasive gynecologic procedures such as myomectomy and hysterectomy.

The following video represents a refined and reproducible approach that incorporates a containment bag (Anchor Medical) and a self-retaining retractor (Applied Medical) in order to meet the following objectives:

  1. tissue extraction without the need for power morcellation
  2. specimen containment to avoid intraperitoneal spillage
  3. ability to continue to offer minimally invasive surgical options to patients through a safe and standardized approach to tissue extraction.

The example case is real-time, contained, intact removal of an 8-cm, 130-g fibroid.

 

Vidyard Video

 

I hope you enjoy the featured opening session on best tissue extraction standards at the AAGL Global Congress on Minimally Invasive Gynecology in ­Vancouver and stop by to visit me at the OBG Management booth.

  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair

 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

As a result of recent concerns regarding the use of power morcellation, clinicians have been faced with the need to develop alternative techniques for contained tissue extraction during minimally invasive gynecologic procedures such as myomectomy and hysterectomy.

The following video represents a refined and reproducible approach that incorporates a containment bag (Anchor Medical) and a self-retaining retractor (Applied Medical) in order to meet the following objectives:

  1. tissue extraction without the need for power morcellation
  2. specimen containment to avoid intraperitoneal spillage
  3. ability to continue to offer minimally invasive surgical options to patients through a safe and standardized approach to tissue extraction.

The example case is real-time, contained, intact removal of an 8-cm, 130-g fibroid.

 

Vidyard Video

 

I hope you enjoy the featured opening session on best tissue extraction standards at the AAGL Global Congress on Minimally Invasive Gynecology in ­Vancouver and stop by to visit me at the OBG Management booth.

  — Dr. Arnold Advincula, AAGL 2014 Scientific Program Chair

 

Share your thoughts on this video! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

Issue
OBG Management - 26(11)
Issue
OBG Management - 26(11)
Page Number
56
Page Number
56
Publications
MDedge ObGyn
OBG Management
Publications
MDedge ObGyn
OBG Management
Topics
Menopause
Surgery
Article Type
Video
Display Headline
The Extracorporeal C-Incision Tissue Extraction (ExCITE) technique
Display Headline
The Extracorporeal C-Incision Tissue Extraction (ExCITE) technique
Legacy Keywords
Arnold P. Advincula MD, Mireille D. Truong MD, minimally invasive tissue extraction, video series, power morcellation, minimally invasive gynecologic surgery, containment bag, Anchor Medical, self-retaining retractor, Applied Medical, specimen containment, intraperitoneal spillage, fibroid, AAGL, Video Channel
Legacy Keywords
Arnold P. Advincula MD, Mireille D. Truong MD, minimally invasive tissue extraction, video series, power morcellation, minimally invasive gynecologic surgery, containment bag, Anchor Medical, self-retaining retractor, Applied Medical, specimen containment, intraperitoneal spillage, fibroid, AAGL, Video Channel
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Arnold Advincula's Surgical Techniques
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