John Michael Heusinkveld

Interests

Research

Pelvic surgery outcomes.Advanced micro-endoscopic techniques.Surgery in the developing world.

Teaching

Advanced laparoscopic surgery.Pelvic reconstructive surgery.Vesico-vaginal fistula repair.

Courses

Scholarly Contributions

Journals/Publications

• Castro, F., Heusinkveld, J., & et al, .. (2024). Incidencia del espectro de acretismo placentario en la unidad de cuidados intensivos obstétricos del Hospital de la Mujer de Sinaloa. Ginecol Obstet Mex 2024; 92 (4): 137-144..
• Heusinkveld, J. (2024).
  Pectopexia laparoscópica: una técnica innovadora para el prolapso de órganos pélvicos. Descripción de tres casos. Casos Clínicos de GOM 2024; 1 (8): 187-191..
• Long, D., Rice, P., Routh, J., Kim, S., Struycken, L., Fisher, J. M., Besselsen, D., Galvez, D., Walton, R., Barton, J. K., & Heusinkveld, J. (2024). Optical Coherence Tomography for the Detection of Electrothermal Ureteral Injury in an Ex-Vivo Porcine Model. Biophotonics Discovery.
• Barton, J. K., Galvez, D., Heusinkveld, J. M., Hong, Z., Liang, R., Rocha, A. D., & Ye, P. (2023). Characterizing close-focus lenses for microendoscopy. Journal of Optical Microsystems, 3(01). doi:10.1117/1.jom.3.1.011003
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  Microendoscopes are commonly used in small lumens in the body for which a focus near to the distal tip and ability to operate in an aqueous environment are paramount for navigation and disease detection. Commercially available distal optic systems below 1 mm in diameter are severely limited, and custom micro lenses are generally very expensive. Gradient index of refraction (GRIN) singlets are available in small diameters but have limited optical performance adjustability. Three-dimensional (3D)-printed monolithic optical systems are an emerging option that may be suitable for enabling high performance, close-focus imaging. In this manuscript, we compared the optical performance of three custom distal optic systems; a custom-pitch GRIN singlet, 3D-printed monolithic doublet, and 3D-printed monolithic triplet, with a nominal working distance (WD) of 1.5, 0.5, and 0.4 mm in 0.9% saline. These short WDs are ideal for microendoscopy in collapsed or flushed lumens such as pancreatic duct or fallopian tube. The GRIN singlet had performance limited only by the fiber bundle relay over 0.9- to 1.6-mm depth of field (DOF). The 3D-printed doublet was able to achieve a comparable DOF of 0.71 mm, whereas the 3D-printed triplet suffered the most limited DOF of 0.55 mm. 3D printing enables flexible design of monolithic multielement systems with aspheric surfaces of very short WDs and relative ease of integration.
• Heusinkveld, J. (2023). Cell-acquiring fallopian endoscope for detection of ovarian cancer via reflectance imaging, fluorescence imaging, and cell collection. . Endoscopic Microscopy XVIII, 18.
• Heusinkveld, J. (2023). Laparoscopic fistula repair with concurrent Pectopexy: A case report. . Continence Reports Volume 6, 6.
• Heusinkveld, J. (2023). Laparoscopic sacral colpopexy without the robot; safe, effective and easier than you think. . Continence.
• Heusinkveld, J. (2023). Optical coherence tomography for the detection of electrothermal injury in radiofrequency - induced ex-vivo porcine ureters. . Advanced Photonics in Urology.
• Heusinkveld, J. (2023). Pectopexy versus sacrocolpopexy ; An analysis of 50 cases in a North American hospital. . AJOG Global Reports.
• Rocha, A. D., Drake, W. K., Rice, P. F., Long, D. J., Shir, H., Walton, R. H., Reed, M. N., Galvez, D., Gorman, T., Heusinkveld, J. M., & Barton, J. K. (2023). Iterative prototyping based on lessons learned from the falloposcope in vivo pilot study experience. Journal of Biomedical Optics, 28(12). doi:10.1117/1.jbo.28.12.121206
• Barton, J. K., Dominguez-cooks, J., Heusinkveld, J., Howard, C., Hsu, C., Keenan, M., & Rice, P. F. (2022). Study of fallopian tube anatomy and mechanical properties to determine pressure limits for endoscopic exploration.. Journal of histotechnology, 45(1), 10-20. doi:10.1080/01478885.2021.1972250
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  Falloposcopy is the endoscopic examination of the fallopian tubes, which are challenging to access due to their deep body location, small opening from the uterus, and lumen filled with plicae. We and others have developed endoscopes that are inserted through the uterus guided by a hysteroscope into the tubal ostium. To better understand how to utilize these endoscopes either as standalone devices or in concert with everting delivery balloons, a preliminary study of anatomy and mechanical behavior was performed ex vivo on porcine and human fallopian tubes. Segments of fallopian tubes from the isthmus, ampulla and infundibulum were inflated with saline either to bursting or held at sub-burst pressures with saline or a saline-filled balloon. Formalin fixed, paraffin embedded tissue sections stained with Masson's trichrome were examined for damage to the mucosa and muscularis. Porcine fallopian tubes tolerated saline pressurization at 15 psi for 1 minute without morphological damage. Balloon inflation to 15 psi caused no apparent damage to the muscle layer or rupture of the fallopian tube, but balloon movement within the tube can denude the mucosal epithelial layer. Human fallopian tubes averaged higher burst pressure values than porcine tubes. Under pressurization, the external tube diameter expanded by minimal to moderate amounts. Human and porcine tissues were similar in histological appearance. These studies suggest that moderate pressurization is acceptable but will not appreciably expand the fallopian tube diameter. The results also indicate that pigs are a reasonable model to study damage from falloscopy as seen in human tissue.
• Addis, I., Gabra, M., Hatch, K., Heusinkveld, J., Torabi, M. T., & Winget, V. (2021). Laparoscopic Uterosacral Ligament Suspension versus Sacrospinous Ligament Fixation for Apical Prolapse: Perioperative Outcomes. Gynecologic Surgery, 18(15). doi:10.21203/rs.3.rs-208585/v1
• Heusinkveld, J., & Barton, J. (2021). Sub-millimeter Endoscope Demonstrates Feasibility of In Vivo Reflectance Imaging, Fluorescence Imaging, and Cell Collection in the Fallopian Tubes. Journal of Biomedical Optics.
• Vega, D., Galvez, D., Romano, G., Pham, N. Y., Cordova, R., Aitken, M., Suebka, S., Heusinkveld, J., & Barton, J. K. (2021). Triple-modality co-registered endoscope featuring wide-field reflectance imaging, and high-resolution multiphoton and optical coherence microscopy. Journal of Optical Microsystems, 1(04). doi:10.1117/1.jom.1.4.044502
• Addis, I., Gabra, M. G., Hatch, K. D., Heusinkveld, J., & Winget, V. (2020). 67: Rate of ureteral compromise and recurrent prolapse following laparoscopic uterosacral ligament suspension: A retrospective study. American Journal of Obstetrics and Gynecology, 222(3), S815. doi:10.1016/j.ajog.2019.12.107
• Addis, I., Gabra, M., Hatch, K., Heusinkveld, J., & Winget, V. (2020). 015 The Impact of Incontinence Procedures at the Time of Vaginal Vault Suspension on Pelvic Pain and Dyspareunia: A Study of Sexually Active Women with Post Hysterectomy Prolapse. The Journal of Sexual Medicine, 17(Supplement_3), S225-S226. doi:10.1016/j.jsxm.2020.04.251
• Gabra, M., & Heusinkveld, J. (2020). Laparoscopic Uterosacral Ligament Hysteropexy- Technique and Anatomy. Journal of Minimally Invasive Gynecology, 27(7). doi:10.1016/j.jmig.2020.08.097
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  Study Objective To demonstrate a technique of laparoscopic uterosacral ligament hysteropexy. Design A step-by-step description of the procedure (instructional video). Setting N/A Patients or Participants The patient is a 30 year old with Stage III apical pelvic organ prolapse. She was unsure about desire for future pregnancy and elected for uterine-sparing repair. Interventions The first step of laparoscopic uterosacral ligament hysteropexy involves creating peritoneal relaxing incisions between both uterosacral ligaments and the ureters. This functions to prevent ureter kinking when the uterosacral ligaments are plicated. Next, plication of the uterosacral ligament is performed using 0-Polyester suture. The suture is guided through the proximal portion of the uterosacral ligament, the midportion of the uterosacral ligament, and the insertion of the uterosacral ligament at the cervix. Uterosacral ligament plication restores the normal anatomy of the uterosacral ligaments. At the conclusion of the case, cystoscopy is performed to ensure ureteral patency. Measurements and Main Results N/A Conclusion Laparoscopic uterosacral ligament hysteropexy is a safe and effective treatment for apical pelvic organ prolapse.
• Heusinkveld, J., & Hatch, K. (2020). Regarding "Laparoscopic Pectopexy with Burch Colposuspension for Pelvic Prolapse Associated with Stress Urinary Incontinence". Journal of minimally invasive gynecology.
• Kiekens, K. C., Romano, G., Galvez, D., Cordova, R., Heusinkveld, J., Hatch, K., Drake, W., Kmeid, Z., & Barton, J. K. (2020). Reengineering a falloposcope imaging system for clinical use. Translational Biophotonics, 2(4). doi:10.1002/tbio.202000011
• Cardenas-trowers, O., Hatch, K. D., & Heusinkveld, J. (2018). 32: Colpocleisis: Surgical tips and tricks. American Journal of Obstetrics and Gynecology, 218(2), S964. doi:10.1016/j.ajog.2017.12.157
• Cardenas-trowers, O., Hatch, K. D., & Heusinkveld, J. (2018). Simple and effective: transvaginal vesico-vaginal fistula repair with a modified Latzko technique.. International urogynecology journal, 29(5), 767-769. doi:10.1007/s00192-017-3471-8
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  The incidence of vesico-vaginal fistulas after hysterectomies for benign indications in developed countries is less than one percent. The objective of this video is to demonstrate an easy-to-follow, step-by-step approach to repairing a small, uncomplicated vesico-vaginal fistula transvaginally using a modified Latzko technique..In this video, we present a case of a 46-year-old woman who developed a simple, uncomplicated vesico-vaginal fistula after a total abdominal hysterectomy. To correct her fistula, we used a modified Latzko technique, which is a transvaginal approach to vesico-vaginal fistula repair that involves mobilizing the vaginal mucosa around the fistula and then closing the pubo-vesical fascia and vaginal mucosa in layers..The patient had successful surgical correction of her vesico-vaginal fistula without recurrence of the fistula..For small, uncomplicated vesico-vaginal fistulas, a transvaginal approach has an equivalent success rate to that of other approaches with less invasiveness and faster recovery times. Therefore, it is reasonable to use a modified Latzko technique to help restore the quality of life to women affected by small, uncomplicated vesico-vaginal fistulas.
• Cardenas-trowers, O., Hatch, K. D., & Heusinkveld, J. (2017). 18: Simple and effective: transvaginal vesico-vaginal fistula repair with Latzko technique. American Journal of Obstetrics and Gynecology, 216(3), S624. doi:10.1016/j.ajog.2016.12.069

Presentations

• Castro, F., Heusinkveld, J., & et al, .. (2024, Spring). Pectopexia: Una Alternativa a la Sacrocolpopexia para Pacientes con Patología Colónica. Asociación Latinoamericana de Piso Pélvico. Panama City, Panama: Asociación Latinoamericana de Piso Pélvico.
• Heusinkveld, J. (2024, Fall). Pectineal Hysteropexy: A New Option for Prolapse Surgery with Uterine Conservation. American College of Surgeons.
• Heusinkveld, J. (2024, Spring). Reparación Vaginal y Laparoscópica de Fístulas Vesicovaginales: Comparación de Técnicas. Asociación Latinoamericana de Piso Pélvico.
• Heusinkveld, J. (2024, Summer). Pectopexia: Una Nueva Operación para el Prolapso Pélvico. Actualizacion en Medicina Fetal y Urogynecologia. Trujillo, Peru.
• Heusinkveld, J., & Dagar, M. (2024, Spring). Gynecologic Surgery in Geriatric Patients: Special Considerations. American College of OBGYN.
• Heusinkveld, J. (2023). Reparacion vaginal y laparoscopica de fistula vesico-vaginales: Comparicion de teenicas. . Asociacion Latinoamerica de Piso Pelvico VIII Congreso. Panama City, Panama.
• Heusinkveld, J. (2023, Fall). Pectopexy: An Alternative to Sacrocolpopexy for Patients with Colonic Pathology. American Urogynecologic Society.
• Heusinkveld, J. (2020, Fall). Pectopexy: A Prolapse Repair that Avoids the Colon. American College of Surgeons.
• Heusinkveld, J. (2022, Fall). Minimally Invasive Repair of Vesicovaginal Fistulae: A Comparison Of Techniques. International Continence Society.
• Heusinkveld, J. (2022, Fall). Vaginal Versus Laparoscopic Repair of Vesicovagina Fistulae: A Comparison. American College of Surgeons.
• Heusinkveld, J. (2022, Fall). Vaginal and Laparoscopic Repair of Vesicovaginal Fistulae: A Comparison of Techniques. AAGL Annual Conference.
• Heusinkveld, J. (2022, Spring). Laparoscopic Sacral Colpopexy: Easier than You Think. American College of OBGYN.
• Heusinkveld, J. (2022, summer). Pelvic Floor Issues in Women with EDS. International Ehlers-Danlos Society.
• Heusinkveld, J., Addis, I. B., & Twiss, C. O. (2022, Fall). Beyond Sacrocolpopexy: Mesh-free Alternatives and Techniques. International Continence Society. Vienna, Austria.
• Heusinkveld, J., Tigner, A., & Winget, V. (2022, Summer). Pectineal Colpopexy and Hysteropexy: The First Thirty Cases. American Urogynecologic Society/International Urogynecologic Association.
• Addis, I. B., & Heusinkveld, J. (2020, March). Repair of a complex rectovaginal fistula. Society of Gynecologic Surgeons Annual Scientific Meeting. Jacksonville, FL: Society of Gynecologic Surgeons.
• Heusinkveld, J. (2020, March). High posterior wall defects: laparoscopic approach. Society of Gynecologic Surgeons Annual Scientific meeting. Jacksonville, FL: Society of Gynecologic Surgeons.
• Heusinkveld, J. (2020, March). High posterior wall defects: vaginal approach. Society of Gynecologic Surgeons Annual Scientific Meeting. Jacksonville, FL: Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Laparoscopic Repair of a Recurrent Vesicovaginal Fistula. Society of Gynecologic Surgeons.
• Heusinkveld, J., Addis, I. B., & Twiss, C. O. (2021, Fall). Beyond Sacrocolpopexy: Mesh-free Alternatives and Techniques. Federation Internationale de Gynecologie et Obstetrique.
• Heusinkveld, J. (2020). Laparoscopic Uterosacral Ligament Hysteropexy - Technique and Anatomy. AAGL.
• Heusinkveld, J., & Gabra, M. (2020, Fall). Laparoscopic Uterosacral Ligaments Suspension Compared to Sacrospinous Ligament Fixation: Complications and Recurrence Rate. Society of Laparoendoscopic Surgeons.
• Heusinkveld, J., & Winget, V. (2020, Fall). Resident Impact on Laparoscopic Sacrocolpopexy Outcomes. Society of Laparoendoscopic Surgeons.
• Heusinkveld, J., Addis, I. B., & Twiss, C. O. (2020, Fall). Beyond Sacrocolpopexy: Mesh-free Alternatives and Techniques. American Urogynecologic Society.
• Heusinkveld, J. (2017, October). Update in urogynecology. Tucson Medical Center OBGYN Grand Rounds. Tucson, AZ: Tucson Medical Center.

Poster Presentations

• Heusinkveld, J. (2024, Summer). Fístula Vesicovaginal: Incidencia, Etiología Y Manejo. Colegio Mexicano de Urología Ginecológica. Guadalajara, Mexico.
• Heusinkveld, J. (2024, Summer). Pectopexia Laparoscópica Para El Prolapso De Órganos Pélvicos: Serie De Casos. Colegio Mexicano de Urología Ginecológica. Guadalajara, Mexico.
• Heusinkveld, J. (2024, Summer).  Fístula Vesicovaginal: Incidencia, Etiología Y Manejo. Colegio Mexicano de Urología Ginecológica. Guadalajara, Mexico.
• Heusinkveld, J. (2023). Analysis of Fifty Cases in a North American Hospital. . Society of Gynecologic Surgeons Annual Scientific Meeting.
• Heusinkveld, J. (2023). Optical Coherence Tomography for the Detection of Thermal Injury in an Ex-vivo Porcine Ureter Model. Society of Gynecologic Surgeons Annual Scientific Meeting. Tucson, Arizona.
• Heusinkveld, J. (2023). Tubal catheterization with miniature triple-modality optical falloposcope: A future IR procedure? . Society for Interventional Radiology Annual Scientific Meeting. Salt Lake City, Utah.
• Heusinkveld, J. (2023, Fall). Laparoscopic Uterosacral Ligament Suspension Compared with Sacrocolpopxy. American Urogynecologic Society.
• Heusinkveld, J. (2023, Spring). Pectopexy Versus Sacrocolpopexy: Analysis of 50 Cases in a North American Hospital. Society of Gynecologic Surgeons.
• Winget, V., Heusinkveld, J., & Addis, I. B. (2020, April). Resident involvement in laparoscopic sacrocolpopexy at one academic institution: A review of operative times and surgical outcomes. ACOG Annual Meeting. Seattle, WA: American College of Obstetrics and Gynecology.
• Gabra, M., Heusinkveld, J., & Addis, I. B. (2020, March). Rate of ureteral compromise and recurrent prolapse following laparoscopic uterosacral ligament suspension. Society of Gynecologic Surgeons Annual Scientific Meeting. Jacksonville, FL: Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Laparoscopic Sacrocolpopexy Without the Robot. Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Laparoscopic Sacrocolpopexy and Uterosacral Ligament Suspension: Operative Outcomes and recurrence Rate. Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Mesh Erosion Rate for Laparoscopic Sacral Colpopexy with Total Hysterectomy. Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Pectopexy: An Alternative to Sacrocolpopexy. Society of Gynecologic Surgeons.
• Heusinkveld, J. (2021, Spring). Pectopexy: Early Experience in a North American Medical Center. Society of Gynecologic Surgeons.
• Heusinkveld, J. (2020, Fall). Pectopexy in a Patient with Recurrent Diverticulitis. American Urogynecologic Society.
• Heusinkveld, J., & Gabra, M. (2020, Fall). Laparoscopic Uterosacral Ligaments Suspension Compared to Sacrospinous Ligament Fixation: Complications and Recurrence Rate. American Urogynecologic Society.