Surgical Film Library-Hudson Posterior Exenteration, With The Use Of Icg Fluorescence To Assess Colorectal Anastomosis And Ureteral Integrity

Hudson Posterior Exenteration, With The Use Of Icg Fluorescence To Assess Colorectal Anastomosis And Ureteral Integrity

Video Transcription

Video Summary

This video demonstrates a 10-step Hudson procedure with colorectal resection for advanced ovarian cancer, emphasizing en bloc tumor removal including uterus, peritoneum, and rectosigmoid segment. Key steps involve retroperitoneal dissection, ureter isolation, ligation of ovarian and uterine vessels, colpotomy, and rectal resection. The procedure concludes with colorectal anastomosis assessed using intraoperative indocyanine green (ICG) fluorescence imaging to ensure adequate perfusion of the anastomosis and ureters. ICG use aims to reduce anastomotic leak risk. This method offers a reproducible surgical approach integrating modern vascular assessment to optimize debulking outcomes in gynecologic oncology.

Asset Subtitle

Dong Bach Nguyen, Canada

Meta Tag

Procedure Type Pelvic exenteration

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

Pelvic exenteration

Hudson procedure

colorectal resection

advanced ovarian cancer

indocyanine green fluorescence

gynecologic oncology debulking