Low Rectal Anastomosis

May 7, 2019 by in GYNECOLOGY Comments Off on Low Rectal Anastomosis

Low Rectal Anastomosis Kenneth D. Hatch GENERAL PRINCIPLES Rectosigmoid resection and anastomosis is indicated for tumor-reductive surgery in ovarian cancer, pelvic exenteration, and rarely for radiation-induced hemorrhagic proctitis. The procedure…

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Pelvic Exenteration

May 7, 2019 by in GYNECOLOGY Comments Off on Pelvic Exenteration

Pelvic Exenteration Kenneth D. Hatch GENERAL PRINCIPLES Definition Pelvic exenteration refers to the radical resection of the uterus, tubes, ovaries, cervix, and vagina, along with the bladder and ureters, and…

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Urinary Diversion

May 7, 2019 by in GYNECOLOGY Comments Off on Urinary Diversion

Urinary Diversion Kenneth D. Hatch GENERAL PRINCIPLES Permanent urinary diversion is necessary when the bladder is removed for treatment of cancer or if there is injury to the lower urinary…

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Robotic Nerve-Sparing Radical Hysterectomy

May 7, 2019 by in GYNECOLOGY Comments Off on Robotic Nerve-Sparing Radical Hysterectomy

Robotic Nerve-Sparing Radical Hysterectomy Javier F. Magrina Paul M. Magtibay GENERAL PRINCIPLES Definition Robotic nerve-sparing radical hysterectomy is viewed by an increasing proportion of gynecologic oncologists as a preferable surgical…

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Complete Pelvic Node Dissection

May 7, 2019 by in GYNECOLOGY Comments Off on Complete Pelvic Node Dissection

Complete Pelvic Node Dissection Kenneth D. Hatch Achim Schneider GENERAL PRINCIPLES Definition A complete pelvic node dissection is performed in the treatment of early cervical cancer for both curable intent…

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Nerve-Sparing Radical Hysterectomy

May 7, 2019 by in GYNECOLOGY Comments Off on Nerve-Sparing Radical Hysterectomy

Nerve-Sparing Radical Hysterectomy Kenneth D. Hatch GENERAL PRINCIPLES Both the Meigs and Okabayashi radical hysterectomies removed the entire attachment of the cardinal ligament to the pelvic sidewall. This included the…

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Radical Trachelectomy

May 7, 2019 by in GYNECOLOGY Comments Off on Radical Trachelectomy

Radical Trachelectomy Shannon Salvador Susie Lau Walter Gotlieb Ria Malik GENERAL PRINCIPLES Definition Radical trachelectomy (RT) is a fertility-preserving surgery for early-stage cervical cancer (IA1 with lymphovascular space invasion [LVSI],…

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