Open Gynecologic Surgery:

Surgery by Laparotomy

Free Streaming Surgical Educational Videos

Surgery by Laparotomy

"Open" surgery is traditional surgery performed through a laparotomy incision as opposed to laparoscopic or "keyhole" surgery.  Advantages of open surgery include a larger area to operate through, direct tactile feedback for the surgeon, and in most cases a more rapid operating time.

The fundamentals of open surgery form the basis for all gynecologic surgery.  Many endoscopic surgeons will study open procedures and recreate them using laparoscopic techniques.

Gynecologic surgery for cancer is traditionally performed via open surgery and is demonstrated in this section.  

This section of StreamOR will review the basic steps required for open surgery.  The standard steps for entering and closing the abdomen are reviewed.

The anatomy is especially well seen in the SurgeonCam clips.

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Entry to the Abdomen for Total Abdominal Hysterectomy With Bilateral Salpingoophorectomy and Lysis of Adhesions With Pelvic and Para-aortic Lymphadenectomy for Uterine Serous Carcinoma.  This Procedure is Also Available as Individual Clips in the Links Below SurgeonCam View

Midline Laparotomy 1: Skin Incision SurgeonCam View

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Midline Laparotomy 2: Fascial Incision SurgeonCam View

Midline Laparotomy 3: Entering the Abdomen SurgeonCam View

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Midline Laparotomy 4: Pelvic Washings in Cancer Surgery SurgeonCam View

Midline Laparotomy 5: Use of the Balfour Self-Retaining Retractor SurgeonCam View

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Identification of the Ureter by Opening the Broad Ligament  

Pelvic Lymphadenectomy 

Para-aortic Lymphadenectomy

Abdominal Closure

Pfannanstiel Incision