Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Nerve-preserving techniques for radical hysterectomy.

E Ito1, T Saito

  • 1Department of Obstetrics and Gynecology, Sapporo Medical University, School of Medicine, South 1 West 17, Chuo-ku, Sapporo, Hokkaido 060-0061, Japan.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|November 4, 2004
PubMed
Summary

Radical hysterectomy can cause bladder dysfunction by damaging pelvic autonomic nerves. This study refines nerve-preserving techniques to minimize damage at key sites, improving postoperative bladder function.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Inflammatory disseminated superficial porokeratosis successfully controlled with a combination of topical diclofenac gel and systemic etretinate.

Journal of the European Academy of Dermatology and Venereology : JEADV·2017
Same author

Recovery After Critical Illness Polyneuropathy in a Patient With Orthotopic Liver Transplantation: A Case Report.

Transplantation proceedings·2016
Same author

An in vivo screening system to identify tumorigenic genes.

Oncogene·2016
Same author

Spectrum of clinical and genetic features of patients with inherited platelet disorder with suspected predisposition to hematological malignancies: a nationwide survey in Japan.

Annals of oncology : official journal of the European Society for Medical Oncology·2016
Same author

Function of insulin in snail brain in associative learning.

Journal of comparative physiology. A, Neuroethology, sensory, neural, and behavioral physiology·2015
Same author

Impact of body mass index on postoperative complications and long-term survival in patients with esophageal squamous cell cancer.

Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus·2015

Area of Science:

  • Gynecologic Oncology
  • Urology
  • Surgical Neurology

Background:

  • Radical hysterectomy frequently leads to postoperative bladder dysfunction.
  • Damage to pelvic autonomic nerves, specifically at the fibrous tissue at the lateral aspect of the uterosacral ligament (FLUSL) and posterior layer of the vesicouterine ligament (PLVUL), is the primary cause.
  • Current nerve-preserving techniques have limitations in fully preventing this damage.

Purpose of the Study:

  • To classify the primary sites of pelvic autonomic nerve damage during radical hysterectomy.
  • To evaluate existing nerve-preserving surgical methods.
  • To introduce an improved nerve-preserving surgical technique.

Main Methods:

  • Classification of pelvic autonomic nerve damage sites based on literature and clinical experience.

Related Experiment Videos

  • Review of current nerve-preserving techniques for radical hysterectomy.
  • Description of a novel, improved nerve-preserving surgical approach.

    • Main Results:

    • Urodynamic data from 25 patients using a previously described nerve-preserving technique were analyzed.
    • Preliminary results for four patients treated with the latest technique are presented.
    • The cardinal ligament pull-through technique showed good bladder function for FLUSL management, but PLVUL management requires further innovation.

    Conclusions:

    • Minimizing injury to FLUSL and PLVUL is crucial for preventing postoperative bladder dysfunction after radical hysterectomy.
    • While progress has been made in preserving nerves at the FLUSL, improved techniques are needed for the PLVUL to reduce nerve damage and enhance bladder function.