TLH with Deep Infiltrative Endometriosis Resection at Rectovaginal Septum
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Info About This Video
Name |
TLH with Deep Infiltrative Endometriosis Resection at Rectovaginal Septum |
Video Uploader |
Video From Dr.Yingchi Robotic & Laparoscopic Gyne Surgery |
Upload Date |
This Video Uploaded At 25-10-2018 07:20:59 |
Video Discription |
Deep Infiltrating Endometriosis (DIE) is a highly invasive form of endometriosis that is often characterized by rectovaginal nodules (in the space between the vagina and rectum) and disease of the uterosacral ligaments, rectum, rectovaginal septum, vagina, and bladder.
This significant and severe form of endometriosis is strongly associated with high levels of pelvic pain, anatomic distortion, infertility, dysuria, dysmenorrhea, dyspareunia, and gastrointestinal distress, which may include symptoms that present as irritable bowel.
Frozen Pelvis is the most extensive form of advanced endometriosis, encompassing the most ultimate forms of deeply infiltrative endometriosis (DIE). This aggressive disease form is inclusive of all extreme endometriosis presentations plus unusual deep infiltrative attachments to outer limits of pelvic ligaments, nerves, and muscle tissues. It can be partial or total frozen pelvis. Frozen pelvis is synonymous with "End Stage Endometriosis" or "Terminal Endometriosis" in the pelvis.
Laparoscopy is the gold standard for the surgical treatment of endometriosis.
Endometriosis surgery aims to reduce endometriosis-associated pain by removing all visible endometriosis and any associated adhesions.
Objection:The surgical treatment of deep infiltrating endometriosis is challenging and complex. Currently, the gold standard for patient care is the referral to tertiary centers with a multidisciplinary team including gynecologists, colorectal surgeon and urologist with adequate training in advanced laparoscopic surgery. The surgical technique is essential to adequately manage the disease and to minimize the risk of complications; however, the technique is rarely taught and described in details.
Surgeon CV
Ying-Chi Wang, MD.
พญ. หยิงฉี หวัง
Fellowship/Diplomat:
- 2006-2009: Diplomat, Thai board of Obstetric & Gynecology Rajavithi Hospital, Bangkok, Thailand.
- 2014-2015: Clinical Fellowship, The Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy, Obstetrics and Gynecology Department, Linkou Chang Gung Memorial Hospital, Linkou Taiwan.(APAGE)
Clinical Interest:
Laparoscopic Gynecologic Surgery : All benign gynaecology disease.
Advance laparoscopic gynecologic surgery : Deep infiltrative endometriosis, Huge myoma uteri, Multiple previous abdominal operation, Gyneco-oncology.
Vaginal hysterectomy (Non-descend vaginal Hysterectomy)
Minimally invasive gynecologic surgery (Scarless operation, NOTES) |
Category |
Film & Animation |
Tags |
deep infiltrative endometriosis | Dysmenorrhea | TLH | RV septal nodule | Laparoscope DIE excision | Bangkok hospital | mininal inasive surgery | พญ หยิงฉี หวัง | Dr Yingchi Wang | เยื่อบุโพรงมดลูกเจริญผิดที่ | ปวดท้องประจำเดือน | ประจำเดือนมามาก | ผ่าตัดส่องกล้อง | ผ่าตัดมดลูก | Total laparoscopic hysterectomy |
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