Document Detail


Identification of the ureter and dissection of the bladder pillar in laparoscopic-assisted radical vaginal hysterectomy.
MedLine Citation:
PMID:  9464738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Identification of the ureter and transection of the bladder pillar are the hallmarks of radical vaginal hysterectomy. TECHNIQUE: First, the supraureteral part of the bladder pillar is transected laparoscopically. After identification of the ureter by the "click" maneuver, the infraureteral part of the bladder pillar is transected vaginally. Then, the rest of the supraureteral part of the bladder pillar is exposed by eversion of the uterine fundus and transected vaginally. EXPERIENCE: Between August 1994 and May 1997, 71 women were treated consecutively for cervical cancer stages IA2-IVB. Our new technique was performed in 16 women and compared with 55 patients in whom traditional techniques were used. Intraoperative and postoperative data were recorded prospectively. The duration of the vaginal phase of the operation was shortened significantly with our new technique compared with traditional techniques. There was no significant difference in intraoperative and postoperative injuries to the bladder or to the ureter for the various techniques. CONCLUSION: Our technique of identification of the ureter and dissection of the bladder pillar may prove a valid alternative to the traditional techniques, with statistically significant time gain.
Authors:
M Possover; N Krause; A Schneider
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  91     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1998 Jan 
Date Detail:
Created Date:  1998-02-26     Completed Date:  1998-02-26     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  139-43     Citation Subset:  AIM; IM    
Affiliation:
Department of Gynecology, Friedrich Schiller University, Jena, Germany.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Hysterectomy, Vaginal / methods*
Laparoscopy / methods*
Postoperative Complications
Prospective Studies
Ureter / surgery
Urinary Bladder / surgery
Urinary Tract / surgery*
Uterine Cervical Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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