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Surgical Film Library
Wdertheim- Okabatashi radical hysterectomy
Wdertheim- Okabatashi radical hysterectomy
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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
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