Total laparoscopic hysterectomy when there is posterior cul-de-sac obliteration: a step-by-step nerve-sparing technique.
cul-de-sac obliteration
deep endometriosis
frozen pelvis
nerve sparing
obliterated posterior cul-de-sac
pararectal space
pouch of Douglas obliteration
total laparoscopic hysterectomy
Journal
American journal of obstetrics and gynecology
ISSN: 1097-6868
Titre abrégé: Am J Obstet Gynecol
Pays: United States
ID NLM: 0370476
Informations de publication
Date de publication:
08 2023
08 2023
Historique:
received:
29
10
2022
revised:
14
03
2023
accepted:
22
03
2023
medline:
24
7
2023
pubmed:
28
3
2023
entrez:
27
3
2023
Statut:
ppublish
Résumé
Dense adhesions because of severe endometriosis between the posterior cervical peritoneum and the anterior sigmoid or rectum obliterate the cul-de-sac and distort normal anatomic landmarks. Surgery for endometriosis is associated with severe complications, including ureteral and rectal injuries and voiding dysfunction. Surgeons should recognize the importance of not only avoiding ureteral and rectal injuries but also focusing on the preservation of the hypogastric nerves. Herein, we reported the anatomic highlights and surgical steps of laparoscopic hysterectomy for posterior cul-de-sac obliteration with the nerve-sparing technique.
Identifiants
pubmed: 36972894
pii: S0002-9378(23)00195-3
doi: 10.1016/j.ajog.2023.03.033
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
178-180Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.