Surgical Film Library-Surgical Technique of Total Mesometrial Excision for Cervical Cancer

Surgical Technique of Total Mesometrial Excision for Cervical Cancer

Video Transcription

Video Summary

This surgical video demonstrates Total Mesometrial Resection (TMMR) for a 36-year-old woman with a small cervical squamous cell carcinoma. The procedure involves accessing the abdomen, preserving ovarian pedicles, and performing meticulous pelvic lymph node dissection while carefully identifying nerves and vessels. The key step is mesoureterine dissection to clear the Müllerian compartment, ensuring preservation of the inferior hypogastric plexus and other vital structures. Ligamentous and vascular mesometrial tissues are resected with clear margins, including vaginal and paracervical areas. The surgery concludes with thorough lymphadenectomy and nerve preservation, aiming for oncological clearance and functional preservation.

Asset Subtitle

Kvvn Raju, India

Meta Tag

Procedure Type Total mesometrial resection

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Total mesometrial resection

Expert

cervical squamous cell carcinoma

pelvic lymph node dissection

mesoureterine dissection

nerve preservation

Kvvn Raju