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ORIGINAL ARTICLE
Year : 2021  |  Volume : 10  |  Issue : 4  |  Page : 215-220

Step-wise technical description of performing ureteric tunnel dissection in laparoscopic radical hysterectomy


Department of Gynecology, Eva Women's Hopsital and Endoscopy Centre, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Dipak Limbachiya
Eva Women's Hospital and Endoscopy Centre, Block-C, Neelkanth Park-2, Ghoda Camp Road, Shahibaug, Ahmedabad, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/GMIT.GMIT_85_20

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Objectives: Technical description of performing ureteric tunnel dissection in laparoscopic radical hysterectomy (LRH) surgery. Materials and Methods: This is a retrospective analysis. A total of 91 patients of the International Federation of Gynaecology and Obstetrics Stage IA2, IB1, and IB2 of cervical cancer were operated by the same surgeon between January 2015 and December 2019 were analyzed. Results: The median time for one side ureteric tunnel dissection was 3 min 15 s (range 2 min 35 s– 6 min 18 s). None of the cases were converted to laparotomy. The patients' median hospital stay was 2 days (range 1–4 days). There were no short-term or long-term complications related to ureteric tunnel dissection. Conclusion: This analysis explains the descriptive methodology of operative technique, especially for ureteric tunnel dissection in LRH. This technique is easily reproducible and replicable, with chances of marginal or negligible complication rates.


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