Transvaginal access to the retroperitoneum

This video demonstrates the transvaginal approach to the retroperitoneal space. A posterior colpotomy is carried out with the needle-knife. The retroperitoneal space is entered digitally enlarging the posterior vaginal incision. In order to avoid peritoneal entering, precise identification of key anatomical landmarks is mandatory. A retroperitoneal tunnel is created using both blunt and balloon dissection with the assistance of CO2 insufflation set at 12mmHg. Demonstrated herein are the technical steps of right adrenalectomy, left nephrectomy and a right latero-caval lymphadenectomy.

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Transvaginal   access   to   the   retroperitoneum

Authors
S Perretta, B Dallemagne, P Allemann, J Nassif, C Zacharopoulou, A Wattiez, J Marescaux
Abstract
This video demonstrates the transvaginal approach to the retroperitoneal space.
A posterior colpotomy is carried out with the needle-knife. The retroperitoneal space is entered digitally enlarging the posterior vaginal incision. In order to avoid peritoneal entering, precise identification of key anatomical landmarks is mandatory. A retroperitoneal tunnel is created using both blunt and balloon dissection with the assistance of CO2 insufflation set at 12mmHg. Demonstrated herein are the technical steps of right adrenalectomy, left nephrectomy and a right latero-caval lymphadenectomy.
Classification
new techniques
Keywords
transvaginal approach, retroperitoneal space, posterior colpotomy, needle knife, balloon dissection, right adrenalectomy, left nephrectomy, right latero-caval lymphadenectomy
Media type
Duration
07'05''
Publication
2008-03
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E-publication
WeBSurg.com, Mar 2008;8(03).
URL: http://www.websurg.com/doi-vd01en2304.htm

Transvaginal   access   to   the   retroperitoneum



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