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Related Experiment Video

Updated: Feb 8, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri

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Ureterolysis for Laparoscopic Hysterectomy.

Haider Jan1, Vishalli Ghai1

  • 1Department of Obstetrics and Gynaecology, Epsom & St Helier University Hospitals NHS Trust, Sutton, United Kingdom.

Journal of Minimally Invasive Gynecology
|June 17, 2018
PubMed
Summary

This video demonstrates ureterolysis techniques during laparoscopic hysterectomy for benign conditions. These methods aim to prevent ureteric injury, a serious complication, by clearly identifying the ureter

Keywords:
HysterectomyLaparoscopicUreter injuryUreterolysis

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Area of Science:

  • Minimally Invasive Gynecologic Surgery
  • Urologic Surgery
  • Surgical Education

Background:

  • Ureteric injury is a significant complication of hysterectomy, leading to morbidity and litigation.
  • Complex benign pathologies increase the risk of ureteric injury during hysterectomy.
  • Standard visualization techniques may be insufficient to prevent ureteric injury in challenging cases.

Purpose of the Study:

  • To demonstrate effective ureterolysis techniques during complex laparoscopic hysterectomy.
  • To provide a reproducible method for identifying and dissecting the ureter.
  • To reduce the risk of ureteric injury in benign gynecologic surgery.

Main Methods:

  • Technical video showcasing various ureterolysis approaches during laparoscopic hysterectomy.
  • Focus on identifying the ureter's course and relation to the uterine artery.
  • Demonstration of safe ureteric dissection up to 15 cm.

Main Results:

  • Techniques presented are simple, quick, and reproducible for expert and novice surgeons.
  • The described method aids in determining ureteric course and relation to the uterine artery.
  • Over 350 cases performed with no reported ureteric injuries.

Conclusions:

  • Ureterolysis is a crucial skill for managing complex benign pathology during hysterectomy.
  • These demonstrated techniques can enhance surgical safety and reduce ureteric injury.
  • The methods are suitable for both performing and teaching ureterolysis.