PFD Week 2018-Techniques for Difficult Bladder Dissection during Laparoscopic Hysterectomy

Techniques for Difficult Bladder Dissection during Laparoscopic Hysterectomy

Video Transcription

Video Summary

In the video, different techniques to assist with difficult bladder dissection during laparoscopic hysterectomy are demonstrated. The rate of urinary tract injury during hysterectomy is described to be between 0.2% and 1.6%. Bladder injury has been shown to be three times higher than ureteral injury. Risk factors for bladder injury include prior surgeries and endometriosis. The first technique shown is the traditional lateral to medial bladder dissection with the use of bladder backfill to better visualize surgical planes. The use of a metal Foley catheter stylet is also demonstrated to aid in bladder dissection. In cases where anatomical landmarks are obstructed, the stylet can be inserted into the Foley catheter to determine anatomical borders. The video emphasizes the importance of proper bladder dissection to minimize morbidity from lower urinary tract injury.

Asset Subtitle

Isabel C Prieto, MD

Meta Tag

Category Surgery - Laparoscopic Procedures

Category Education

Category Anatomy

Keywords

bladder dissection

laparoscopic hysterectomy

urinary tract injury

bladder injury

risk factors