2009年10月
A novel technique for the management of the vesicouterine ligament during radical hysterectomy.
Gynecologic oncology
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- 巻
- 115
- 号
- 1
- 開始ページ
- 56
- 終了ページ
- 59
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.ygyno.2009.06.034
OBJECTIVE: To introduce a simple and safe method for the management of the vesicouterine ligament (VUL) during radical hysterectomy. METHOD: From 2004 to 2006, 35 patients with the International Federation of Gynecology and Obstetrics (FIGO) stage IB1 (n=32) and IB2 (n=3) invasive cervical cancer underwent radical hysterectomy. Epinephrine, which was diluted 1:1,000,000 times with saline solution, was injected into the VUL. We investigated whether this hydrodissection technique is safe and simple to apply in the management of the VUL during radical hysterectomy. RESULT: The hydrodissection technique enabled us to easily identify cervicovesical vessels. As a result, none of the patients suffered ureteral injury during radical hysterectomy. CONCLUSION: The injection of diluted epinephrine into the VUL is safe and simple to apply in the management of the VUL during radical hysterectomy.
- リンク情報
- ID情報
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- DOI : 10.1016/j.ygyno.2009.06.034
- PubMed ID : 19647307