Nerve Sparing Radical Hysterectomy Made Easy by Laparoscopy

Shailesh Puntambekar, AkhilLawande, Seema Puntambekar,Saurabh Joshi, Sanjay Kumar Rahul Kenawadekar.Journal of Minimally Invasive Gynecology 1.61 Impact Factor 2014-04.

ABSTRACT Title

Nerve Sparing radical hysterectomy made easy by laparoscopyBody: The commonest complication of a radical hysterectomy is bladder dysfunction. To overcome this, a nerve sparing radical hysterectomy is done. The advantage of performing a nerve sparing radical hysterectomy by laparoscopy is better delineation of nerves due to the magnification enabled by a laparoscope, thus leading to better nerve preservation.

Objectives

To evaluate the technical feasibility of nerve sparing radical hysterectomy performed laparoscopically.

Methods

We performed laparoscopic nerve sparing radical hysterectomy in 35 patients with cancer cervix stage Ia1 and Ib1.

Results

The oncological results were comparable to the conventional laparoscopic radical hysterectomy. Complete recovery of bladder functions after removal of Foleys catheter. Urodynamic studies performed after three weeks normal.

Conclusion

The oncological and functional results comparable to the conventional laparoscopic radical hysterectomy. This shows that magnification enabled by laparoscope helps in better dissection and preservation of nerve anatomy

Nerve Sparing radical hysterectomy made easy by laparoscopy – ResearchGate. Available from: http://www.researchgate.net/publication/261763632_Nerve_Sparing_radical_hysterectomy_made_easy_by_laparoscopy [accessed Sep 24, 2015].