Hellow guys, Welcome to my website, and you are watching OBLITERATED RECTOVAGINAL SPACE. and this vIdeo is uploaded by Narangi Devi Dasi at 2019-05-23T17:05:37-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | OBLITERATED RECTOVAGINAL SPACE |
| Video Uploader | Video From Narangi Devi Dasi |
| Upload Date | This Video Uploaded At 24-05-2019 00:05:37 |
| Video Discription | Video Objective: Show dissection techniques in a completely obliterated cul-de sac. Setting: Stage 4 Endometriosis patient Interventions: Robotic assisted excision of endometriosis, hysterectomy and restoration of normal anatomy Conclusion: Stage 4 Endometriosis causes frozen pelvis, complete distortion of normal anatomy. Restoration of normal anatomy and excision of endometriosis is the goal of surgery in such patients whether or not hysterectomy is performed. It is essential to restore the normal anatomy and identify the key structures before undertaking hysterectomy to avoid inadvertent injuries and also to provide symptomatic relief to the patient. Deeply infiltrative fibrotic endometriosis infiltrates through rectovaginal space and causes complete obliteration of the cul-de sac, displacement of ureters and distorted pelvic side walls and perirectal fossas. The dissection is started by identifying the ureters on each side, develop normal space between the ureter and colon as well as between the rectum and uterosacral ligaments. The instinct is to tackle the midline but a minimally invasive gynecologic surgeon should know that the correct approach is in developing the spaces laterally before dissecting in the midline. |
| Category | People & Blogs |
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