Hellow guys, Welcome to my website, and you are watching Okabayashi's Space (Medial Para Rectal Space) and Inferior Hypogastric Nerve. and this vIdeo is uploaded by Dr. Mangirish A. Kenkre at 2020-10-12T22:35:23-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Okabayashi's Space (Medial Para Rectal Space) and Inferior Hypogastric Nerve |
| Video Uploader | Video From Dr. Mangirish A. Kenkre |
| Upload Date | This Video Uploaded At 13-10-2020 05:35:23 |
| Video Discription | This video demonstrates the laparoscopic dissection of the Okabayashi's Space and inferior hypogastric nerve by Dr Mangirish Kenkre. After a tiny dissection of the ureter within the pararectal space, the ureter will divide it into two parts; medial is Okabayashi’s space and lateral is Latzko’s space . It is separated from the paravesical space by the cardinal ligament/uterine artery and from the presacral space by the rectal septa.The medial pararectal space is called Okabayashi’s space and it is between the ureter and the rectouterine ligament, which is developed after opening the posterior leaf of the broad ligament.Okabayashi’s space boundaries: ventrally-cardinal ligament; dorsally–presacral fascia, sacrum; laterally–ureter, mesoureter; medially-rectum. The authors define different medial boundaries of Okabayashi’s space. For some authors, the medial limit of Okabayashi’s space is the rectum, whereas for others, it is the uterosacral ligaments . By incising and opening the space between the posterior leaf of the broad ligament and the ureter, Okabayashi’s space is developed. This step allows lateralization of the ureter, mesoureter, HN, and gives access to the uterosacral ligament.Two anatomic structure transversely cross this space—the lateral ligament of the rectum (LLR) and middle rectal artery (MRA). LLR is formed by the MRA/vein and surrounding tissue. LLR and MRA are stretched between the hypogastric vessels and the rectum. Although LLR and MRA are absent sometimes, they are of significant importance during nerve-sparing procedures. LLR and MRA are anatomic landmarks—after slight dissection caudally to LLR and MRA, the pelvic plexus is visualized. LLR and MRA runs close to the pelvic splanchnic nerves and transverse the pelvic plexus. In gynecology/oncogynecology, Okabayashi’s space is exposed during nerve-sparing radical hysterectomy or in cases with deep endometriosis in order to preserve nerves. Dissection of Okabayashi’s space is essential for identification and dissection of hypogastric nerves.Okabayashi’s space is also dissected for ureter mobilization, bowel management, or major ureter surgery in deep endometriosis. Please Like, Share and Subscribe for more educational content on Laparoscopic Gynecology and Oncology. |
| Category | Education |
| Tags | okabayashi space | medial para rectal space | para rectal space | yabuki space | laparoscopic wertheim | laparoscopic radical hysterectomy | oncology surgery goa | best laparoscopic surgery goa | harmonic | medtronic | johnson and johnson | ethicon | cancer surgeon goa | cancer of cervix operation | cancer in female | best cancer surgeon | inferior hupogastric nerve | IHN | nerve sparing radical hysterectomy | radical hysterectomy | nerves of pelvis | pelvineurology | avascular spaces of pelvis |
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