Surgical Film Library-Wdertheim- Okabatashi radical hysterectomy

Video Transcription

Video Summary

The transcript describes a complex surgical procedure likely involving the removal of the uterus and possibly lymph node dissection due to cancer concerns. The surgeon examines upper abdominal organs and lymph nodes near the aorta for metastasis before proceeding. They carefully free and mobilize the ventricle space, large vessels, ureter, and nerves, minimizing blood loss and preserving critical structures such as the ovaries and their blood supply. Clamps are placed on the vagina and uterus for removal, with only a small portion of the vagina excised to avoid functional issues. The surgical site is irrigated thoroughly to clear debris and fluids. Drains are inserted to manage postoperative fluids, exiting through the vagina to maintain cleanliness. Throughout, meticulous care is taken to preserve anatomy and ensure safe removal, while preparing the area for potential radiation if metastases are found, highlighting an approach tailored to cancer spread risk.

Asset Subtitle

Frits Lammes, Netherlands

Meta Tag

Procedure Type Radical trachelectomy-abdominal approach

Route Open

Skill Level Expert

Surgical Location Pelvis

Keywords

Open

Pelvis

Expert

Radical trachelectomy-abdominal approach

hysterectomy

lymph node dissection

cancer metastasis

organ preservation

postoperative drainage