Tony FinelliMD, MSc, FRCSC
Chief of Urology, University Health Network
GU Site Lead, Princess Margaret Cancer Center
University of Toronto
Dr. Tony Finelli is a urologic oncologist and surgeon investigator at the University Health Network (UHN) in Toronto and an Associate Professor at the University of Toronto. He is the Chief of Urology, GU Site Lead at the Princess Margaret Cancer Center and the inaugural GU Oncology Lead for the province of Ontario (Cancer Care Ontario).
Dr. Finelli conducts health services research in urologic oncology with an interest in identifying gaps in care and designing knowledge translation strategies to overcome them. He is also actively involved in clinical trials. He has published more than 100 peer-reviewed manuscripts and holds peer-reviewed funding for research in prostate and kidney cancer.
Dr. Finelli’s clinical practice focuses on the management of urologic malignancies with minimally invasive and robotic techniques. He has performed live surgery for instructional purposes in more than 10 countries. Dr Finelli is recognized nationally and internationally for his contributions to minimally invasive urologic oncology.
Areas of Specialty and Research Interests
Affiliated Hospital(s)Princess Margaret Cancer Centre (UHN), Toronto General Hospital (UHN)
Step by step total laparoscopic hysterectomy with uterine arteries ligation at the origin.
J Minim Invasive Gynecol. 2019 Jun 12;:
Authors: Finelli A, Restaino S, Ronsini C, Lucidi A, Scambia G, Fanfani F
OBJECTIVE: To reveal principles and the feasibility of a total laparoscopic hysterectomy (TLH) with uterine arteries ligation at the origin.
DESIGN: Step-by-step demonstration and explanation of technique using videos from patients SETTING: Gynecologic Oncology Unit at a University Hospital PATIENT: A 54-year-old woman with uterine fibromatosis and metrorrhagia.
INTERVENTION: TLH has seven common components: MEASUREMENTS AND MAIN RESULTS: Laparoscopic hysterectomy was first described by Harry Reich in 1989 and has slowly gained popularity2. Today, hysterectomy is the most common gynaecologic procedure performed. TLH is where the entire operation (including suturing of the vaginal vault) is performed laparoscopically and there is no vaginal component except for the removal of the uterus. Currently hysterectomies are performed by different approaches, and even between individual surgeons have different indications for the approach to hysterectomy based largely on their own array and the patient characteristics. TLH requires the highest degree of laparoscopic surgical skills3, the knowledge of pelvic anatomy defines a safe space for sharp entry into the retroperitoneum, and safe identification of pelvic vasculature.
CONCLUSION: We present an educational video with step-by-step explanation of the technique using videos and pictures to highlight the anatomic landmark that guides the procedure.
PMID: 31201941 [PubMed - as supplied by publisher]