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BackTable / OBGYN / Podcast / Episode #59

Tackling the Big Uterus

with Dr. Uchenna Acholonu

In this episode of the BackTable OBGYN podcast, host Dr. Mark Hoffman is joined by MIGS specialist Dr. Uchenna Acholonu to discuss the intricacies of complex gynecologic surgeries, focusing particularly on handling large uteruses during total laparoscopic hysterectomy (TLH).

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Tackling the Big Uterus with Dr. Uchenna Acholonu on the BackTable OBGYN Podcast)
Ep 59 Tackling the Big Uterus with Dr. Uchenna Acholonu
00:00 / 01:04

BackTable, LLC (Producer). (2024, July 9). Ep. 59 – Tackling the Big Uterus [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Uchenna Acholonu discusses Tackling the Big Uterus on the BackTable 59 Podcast

Dr. Uchenna Acholonu

Dr. Uchenna Acholonu, Jr. is a gynecologic surgeon with New York Presbyterian in New York City.

Dr. Mark Hoffman discusses Tackling the Big Uterus on the BackTable 59 Podcast

Dr. Mark Hoffman

Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.

Synopsis

The discussion begins with talk of the doctors’ practices and friendship. They then cover comprehensive patient evaluations and various surgical techniques, including skeletonizing the uterines, colpotomy tricks, uterine manipulators, and morcellation. Dr. Acholonu also shares his personal routines and preferences, including the use of a flexible scope to get around the big uterus. The duo exchange insights on surgical techniques, patient-centered care, and the continuous learning necessary in the medical field. They emphasize the significance of safety, adequate planning, and the benefits of engaging in community networks for better surgical outcomes. The conversation concludes with a light-hearted note on their shared experiences and camaraderie, offering both educational value and a glimpse into the dynamic relationship between two seasoned professionals.

Timestamps

00:00 - Introduction
04:01 - Building a Subspecialty Practice
07:34 - Patient Referrals
12:41 - Surgical Approach
16:06- The Big Uterus
28:36 - Surgical Steps in TLH, Skeletonizing the Uterines
32:56 - Challenges and Solutions
36:49 - Energy Sources and Surgical Tools
42:34 - Colpotomy
44:43 - Tissue Extraction and Morcellation
50:27 - Closing and Post-Operative Care
52:05 - Use of Lupron
53:16 - Final Thoughts

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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