Laparoscopic dissection of the pelvic ureter: rules of engagement

ConclusionThis video shows the feasibility of laparoscopic ureteral dissection and provides safety rules to perform a ureterolysis. Identification and dissection of the ureter should be part of any gynecological surgeon background to reduce the risk of complication. Knowledge of anatomy plays a pivotal role allowing the surgeon to keep the ureter at a distance minimizing the need of ureterolysis. Unfortunately, the need of ureteral dissection is not always predictable preoperatively and a gynecological surgeon need to master this technique especially when approaching more complex procedure such as endometriosis. Perform a ureteral dissection imply a rick of damage, therefore, the ureter should be dissected only when strictly necessary and handled with care trying to minimize the use of energy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research