A novel technique for the management of the vesicouterine ligament during radical hysterectomy

Abstract 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 cervi...

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Bibliographic Details
Published in:Gynecologic oncology 2009-10, Vol.115 (1), p.56-59
Main Authors: Kobayashi, Eiji, Iwamiya, Tadashi, Isobe, Masanori, Miyake, Takahito, Shiki, Yasuhiko, Yamasaki, Masato
Format: Article
Language:English
Subjects:
Adult
Aged
Cervical cancer
Cervicovesical vessels
Epinephrine - administration & dosage
Female
Hematology, Oncology and Palliative Medicine
Humans
Hydrodissection technique
Hysterectomy - methods
Ligaments - anatomy & histology
Ligaments - surgery
Middle Aged
Neoplasm Staging
Obstetrics and Gynecology
Radical hysterectomy
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
Uterus - anatomy & histology
Uterus - blood supply
Uterus - surgery
Vesicouterine ligament
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Summary:Abstract 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.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2009.06.034