Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method

Radical hysterectomy (RH) is a standard treatment for early-stage cervical cancer. This surgery extirpates the uterus along with the paracervical tissues, vagina, and the paracolpium to achieve local control. Pelvic lymphadenectomy is a critical component of RH performed for regional control. A clea...

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Autores principales:	Noriaki Sakuragi, Masanori Kaneuchi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical Publishers, Inc. 2021
Materias:	fascia paracervical tissues paracolpium tissue plane traction and counter traction Surgery RD1-811
Acceso en línea:	https://doaj.org/article/eb334abdf8e14fecadeb7ae8126ea61b
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spelling	oai:doaj.org-article:eb334abdf8e14fecadeb7ae8126ea61b2021-12-02T00:09:12ZNerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method2378-51282378-513610.1055/s-0041-1739119https://doaj.org/article/eb334abdf8e14fecadeb7ae8126ea61b2021-12-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1739119https://doaj.org/toc/2378-5128https://doaj.org/toc/2378-5136Radical hysterectomy (RH) is a standard treatment for early-stage cervical cancer. This surgery extirpates the uterus along with the paracervical tissues, vagina, and the paracolpium to achieve local control. Pelvic lymphadenectomy is a critical component of RH performed for regional control. A clear understanding of pelvic anatomy is critical to safely performing a RH and achieving optimal oncological and functional outcomes. The various surgical steps can damage the pelvic autonomic nerves, and a systematic nerve-sparing technique is used for the preservation of autonomic nerves. There is an intricate vascular network in the lateral paracervix (cardinal ligament) and the pelvic sidewall. We need to comprehend the three-dimensional structure of the vascular and nerve anatomy in the pelvis to perform RH effectively and safely. We can create six spaces around the uterine cervix, including the paravesical spaces, pararectal spaces, a vesicovaginal space, and a rectovaginal space to reveal the target of extirpation. It is critical to find the proper tissue plane separated by the layers of membranous connective tissue (fascia), in order to minimize intraoperative bleeding.Noriaki SakuragiMasanori KaneuchiThieme Medical Publishers, Inc.articlefasciaparacervical tissuesparacolpiumtissue planetraction and counter tractionSurgeryRD1-811ENThe Surgery Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	fascia paracervical tissues paracolpium tissue plane traction and counter traction Surgery RD1-811
spellingShingle	fascia paracervical tissues paracolpium tissue plane traction and counter traction Surgery RD1-811 Noriaki Sakuragi Masanori Kaneuchi Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
description	Radical hysterectomy (RH) is a standard treatment for early-stage cervical cancer. This surgery extirpates the uterus along with the paracervical tissues, vagina, and the paracolpium to achieve local control. Pelvic lymphadenectomy is a critical component of RH performed for regional control. A clear understanding of pelvic anatomy is critical to safely performing a RH and achieving optimal oncological and functional outcomes. The various surgical steps can damage the pelvic autonomic nerves, and a systematic nerve-sparing technique is used for the preservation of autonomic nerves. There is an intricate vascular network in the lateral paracervix (cardinal ligament) and the pelvic sidewall. We need to comprehend the three-dimensional structure of the vascular and nerve anatomy in the pelvis to perform RH effectively and safely. We can create six spaces around the uterine cervix, including the paravesical spaces, pararectal spaces, a vesicovaginal space, and a rectovaginal space to reveal the target of extirpation. It is critical to find the proper tissue plane separated by the layers of membranous connective tissue (fascia), in order to minimize intraoperative bleeding.
format	article
author	Noriaki Sakuragi Masanori Kaneuchi
author_facet	Noriaki Sakuragi Masanori Kaneuchi
author_sort	Noriaki Sakuragi
title	Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
title_short	Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
title_full	Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
title_fullStr	Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
title_full_unstemmed	Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
title_sort	nerve-sparing radical hysterectomy using the okabayashi–kobayashi method
publisher	Thieme Medical Publishers, Inc.
publishDate	2021
url	https://doaj.org/article/eb334abdf8e14fecadeb7ae8126ea61b
work_keys_str_mv	AT noriakisakuragi nervesparingradicalhysterectomyusingtheokabayashikobayashimethod AT masanorikaneuchi nervesparingradicalhysterectomyusingtheokabayashikobayashimethod
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Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method

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