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[How to control the Santorini's plexus easily]

J P Mignard1, L Corbel

  • 1Clinique Jeanne d'Arc, Saint-Brieue.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|October 1, 1994
PubMed
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This study details two surgical techniques to control Santorini's plexus during prostatectomy and cystectomy. These methods improve hemostasis and surgical field visualization, aiding precise dissection.

Area of Science:

  • Urology
  • Surgical Oncology
  • Anatomy

Context:

  • Santorini's plexus control is a significant challenge in prostatectomy and total cystectomy.
  • Effective management of Santorini's plexus is crucial for minimizing blood loss and ensuring surgical success.

Purpose:

  • To describe two effective surgical procedures for controlling Santorini's plexus during radical prostatectomy and cystectomy.
  • To enhance hemostasis and improve surgical field exposure during pelvic surgeries.

Summary:

  • A running hemostatic suture at the bladder neck facilitates midline approximation of Santorini's plexus, ensuring hemostasis and enhancing prostatic exposure.
  • Disrupting fibrous tissue at the prostatic apex allows easy identification of the urethra and dissection within the avascular plane, enabling precise sectioning of the venous plexus.

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Impact:

  • These techniques offer improved control of Santorini's plexus, potentially reducing operative complications.
  • Enhanced visualization and hemostasis contribute to safer and more efficient radical prostatectomy and cystectomy procedures.