Day 2: Postgraduate Course - Sunday November 10, 2019

VAG-712: Reimagining Vaginal Surgery in MIGS


Sunday, November 10, 2019


12:30 pm – 4:30 pm


Room 116-117



Presented in affiliation with Society of Gynecologic Surgeons (SGS).




Jan F. Baekelandt, Rosanne M. Kho


Alexander “Sandy” F.  Burnett, Xiaoming Guan, Karl Jallad, Howard B. Salvay

Course Description

Imagine vaginal surgery with the use of a scope and endoscopic instruments! Learn novel approaches from these experts on how to fully incorporate vaginal surgery into your MIGS armamentarium. Using familiar endoscopic principles, instrumentation and devices, vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery), and other advanced vaginal techniques enable surgeons to perform gynecological operations while leaving no visible scars. This course will highlight various modalities to maximize exposure, simplify access into the cul-de-sac, insert vNOTES port and perform simple and difficult vaginal hysterectomies, adnexectomies, and tubal surgery. This session will also provide practical tips on how to prevent, detect, and manage complications in vNOTES and vaginal surgery.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Identify the major challenges in vaginal surgery and articulate various techniques to overcome these challenges; 2) articulate steps to perform vNOTES hysterectomy and adnexectomy safely and efficiently; and 3) identify, prevent, and manage complications in vNOTES and vaginal surgery.

Course Outline

12:30Welcome, Introductions, and Course OverviewJ.F. Baekelandt, R.M. Kho
12:35Create Your “Troubleshooting” Page for the Difficult Vaginal HysterectomyR.M. Kho
1:00vNOTES Set-Up for Success: Port Placement, Stepwise Procedure for HysterectomyJ.F. Baekelandt
1:25vNOTES for the Difficult HysterectomyA.F. Burnett
1:50Support of the Vaginal Apex During Benign HysterectomyK. Jallad
2:15Questions & AnswersAll Faculty
2:40Lessons Learned in vNOTES to Optimize SuccessH.B. Salvay
3:05vNOTES Tubal Surgery for Ectopic Pregnancies, Sterilization, and ReanastomosisX. Guan
3:30vNOTES Ovarian Surgery without Concomitant HysterectomyA.F. Burnett
3:55Complications in Vaginal Surgery: Prevent, Identify, and ManageJ.F. Baekelandt
4:20Questions & AnswersAll Faculty