Key techniques for difficult bladder dissection during robotic assisted total laparoscopic hysterectomy

Bladder dissection can be challenging in patients with a history of cesarean section, endometriosis, or prior pelvic surgeries that result adhesive disease of the bladder to the lower uterine segment. It is important for gynecologic surgeons to master techniques to safely accomplish a difficult bladder dissection during minimally invasive hysterectomy to avoid injury or conversion to laparotomy.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research