Cinelaparoscopy - the Remarkable Early Progress in Video-Documentation of Laparoscopic Surgery.

Abstract

Study Objective Historical presentation of Cinelaparoscopy to document surgery and educate physicians and patients in minimally invasive gynecologic surgery (MIGS). Design Presentation of an award-winning paper on the utilization of the technique in MIGS. Setting Armed Forces Hospital. Patients or Participants Case reports of gynecologic patients opting for minimally invasive gynecologic surgery. Interventions Developing and utilizing the equipment, including 8mm cameras, to document laparoscopic gynecologic surgery. Measurements and Main Results An 8mm movie camera was attached to a laparoscope to document gynecologic procedures including ovarian biopsy, retrieval of an intrauterine device (IUD) that had perforated the uterus, monopolar Fallopian tube coagulation for sterilization and survey of the pelvis, appendix, intestines, liver and gall bladder. After the film was developed, it was edited and spliced for presentation at a national meeting of obstetricians and gynecologists. One can imagine the excitement that the pioneers in MIGS experienced when seeing these films. Metaphorically, the world of MIGS experienced "Moore's Law" in the 1970′s with the rapid development of safer techniques, better instrumentation, bipolar coagulation devices, improved optics, and innovative performances of standard gynecologic procedures, e.g., Laparoscopic Hysterectomy. Conclusion This award-winning presentation was instrumental in the planning, the documentation, and the distribution of the 1976 and 1977 Hawai'i AAGL endoscopic teaching videos. Those videos increased the awareness of MIGS, spurred the development of MIGS procedures, and encouraged the promulgation of MIGS as the preferred route of most gynecologic surgery. Historical presentation of Cinelaparoscopy to document surgery and educate physicians and patients in minimally invasive gynecologic surgery (MIGS). Presentation of an award-winning paper on the utilization of the technique in MIGS. Armed Forces Hospital. Case reports of gynecologic patients opting for minimally invasive gynecologic surgery. Developing and utilizing the equipment, including 8mm cameras, to document laparoscopic gynecologic surgery. An 8mm movie camera was attached to a laparoscope to document gynecologic procedures including ovarian biopsy, retrieval of an intrauterine device (IUD) that had perforated the uterus, monopolar Fallopian tube coagulation for sterilization and survey of the pelvis, appendix, intestines, liver and gall bladder. After the film was developed, it was edited and spliced for presentation at a national meeting of obstetricians and gynecologists. One can imagine the excitement that the pioneers in MIGS experienced when seeing these films. Metaphorically, the world of MIGS experienced "Moore's Law" in the 1970′s with the rapid development of safer techniques, better instrumentation, bipolar coagulation devices, improved optics, and innovative performances of standard gynecologic procedures, e.g., Laparoscopic Hysterectomy. This award-winning presentation was instrumental in the planning, the documentation, and the distribution of the 1976 and 1977 Hawai'i AAGL endoscopic teaching videos. Those videos increased the awareness of MIGS, spurred the development of MIGS procedures, and encouraged the promulgation of MIGS as the preferred route of most gynecologic surgery.