Gate approach at deep anterolateral pelvic dissection

2021 ◽  
Vol 37 ◽  
pp. 101535
Author(s):  
Fozan Sauri ◽  
Min Soo Cho ◽  
Nam Kyu Kim
Keyword(s):  
Pelvic Dissection

scholarly journals Consenting for pelvic nerve injury in colorectal surgery: need to address age and gender bias

2010 ◽  
Vol 92 (5) ◽  
pp. 391-394 ◽  
Author(s):  
Prabhu N Nesargikar ◽  
Vasha Kaur ◽  
Daniel M Cocker ◽  
John Lengyel
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Colorectal Surgery ◽  
Nerve Injury ◽  
Medical Records ◽  
Pelvic Nerve ◽  
Elective Colorectal Surgery ◽  
Consent Forms ◽  
Pelvic Dissection ◽  
Operative Notes

INTRODUCTION Pelvic nerve injury is a recognised complication following pelvic dissection in colorectal surgery. It can lead to urinary and sexual dysfunction in men and women, which varies from 5-40% depending on the surgery and the underlying pathology. Sexual dysfunction can manifest as erectile dysfunction in men and as dyspareunia and failure to achieve sexual arousal/orgasm in women. The aim of this study was to evaluate consent for these complications prior to surgery. PATIENTS AND METHODS We carried out a retrospective audit on patients who had undergone elective colorectal surgery involving pelvic dissection over a 2-year period (June 2006 to June 2008) at University Hospital of North Staffordshire. We reviewed the consent forms and medical records of these patients, specifically looking for documentation of pelvic nerve injury, sexual dysfunction or erectile dysfunction prior to surgery. Only patients who had documented pelvic dissection in their operative notes were included in the audit, and those who were deemed unable to consent were excluded. RESULTS Medical records of 118 patients were reviewed. Of this cohort, 31% were women (n = 37). Malignancy was the indication for surgery in 79% of women and 88% of men. Consent for the procedure was obtained by a consultant in 73% (n = 86) of patients and by a middle-grade surgeon in the remaining 27% (n = 32). Only two women were consented for pelvic nerve injury whilst this number was 41 for men (5% vs 51%). Patients younger than 50 years were more consistently informed of the risks (50%) compared to the over 50-year-olds (34%). Only eight patients (males 6, females 2) were consented for urinary dysfunction. CONCLUSIONS The risk of pelvic nerve injury is not frequently stated, which is more common in women and the elderly. Overall, only 36% of patients were consented for pelvic nerve injury, while only 5% of women were consented. Is this professional discretion, or evidence that surgeons are not being assiduous enough when obtaining consent, which may leave them vulnerable to medicolegal claims? Introduction of procedure-specific consent forms would be a method to address this issue.

A new vascular clamp for radical pelvic dissection

1977 ◽  
Vol 134 (3) ◽  
pp. 434-435 ◽  
Author(s):  
Murray Joseph Casey
Keyword(s):  
Vascular Clamp ◽  
Pelvic Dissection

scholarly journals Timing of urinary catheter removal after colorectal surgery with pelvic dissection: A systematic review and meta-analysis

2021 ◽  
pp. 103148
Author(s):  
Stuart McIntosh ◽  
Hunter Ross ◽  
Scrimgeour Duncan ◽  
Bekheit Mohammed ◽  
Stevenson Lynn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Colorectal Surgery ◽  
Urinary Catheter ◽  
Meta Analysis ◽  
Catheter Removal ◽  
Pelvic Dissection

A Systematic Approach to Laparoscopic Gyn Cadaveric Pelvic Dissection and Anatomy

2013 ◽  
Vol 20 (6) ◽  
pp. S84
Author(s):  
T.G. Lang ◽  
J. Hudgens ◽  
R.P. Pasic
Keyword(s):  
Systematic Approach ◽  
Pelvic Dissection

Robotic pelvic dissection as surgical treatment of complicated diverticulitis in elective settings: a comparative study with fully laparoscopic procedure

2018 ◽  
Vol 33 (8) ◽  
pp. 2583-2590 ◽  
Author(s):  
Diletta Cassini ◽  
Norma Depalma ◽  
Michele Grieco ◽  
Roberto Cirocchi ◽  
Farshad Manoochehri ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Comparative Study ◽  
Complicated Diverticulitis ◽  
Laparoscopic Procedure ◽  
Pelvic Dissection

The role of anatomic pelvic dissection in the successful closure of bladder exstrophy: an aid to success

2019 ◽  
Vol 15 (5) ◽  
pp. 559.e1-559.e7
Author(s):  
R. Davis ◽  
M. Maruf ◽  
E. Dunn ◽  
H. DiCarlo ◽  
J.P. Gearhart
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Dissection

Use of the video-laparoscope to shed light on conventional pelvic dissection

1995 ◽  
Vol 82 (7) ◽  
pp. 902-902 ◽  
Author(s):  
J. F. Stebbing ◽  
N. J. McC. Mortensen
Keyword(s):  
Pelvic Dissection ◽  
Shed Light

Laparoscopic radical pelvic dissection for safely removing a large cervical myoma

2020 ◽  
pp. ijgc-2020-001507
Author(s):  
Mo Chen ◽  
Jiajia Li ◽  
Xiaojun Yin ◽  
Liangqing Yao
Keyword(s):  
Pelvic Dissection
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