Variations in Procedures for Ureterolysis with Sharp Dissection in Minimally Invasive Hysterectomy.

ABSTRACT: To safely perform minimally invasive hysterectomy (MIH), including laparoscopic hysterectomy and robot-assisted hysterectomy, partial ureterolysis, or visualizing only the ureter without dissection is often inadequate. Moreover, careless blunt dissection could injure the blood vessels. We present our surgical method for ureterolysis using sharp dissection during MIH. First, the outer portion of the ureter is dissected. Dissecting between the pelvic sidewall and the posterior leaf of the broad ligament creates a pararectal space outside the ureter, enabling the easy identification of the ureter running on the posterior leaf. Second, the inner portion of the ureter is dissected. After determining the location of the ureter, a better partial dissection of the ureter can be performed from the

SUBMITTER: Tanase Y 

PROVIDER: S-EPMC9491056 | biostudies-literature | 2022 Jul-Sep

REPOSITORIES: biostudies-literature