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Retraction of a “Floppy Uterus” Encountered During Minimally Invasive Rectal Resection

  • Howard M. RossEmail author
  • Meredith Gunder
Chapter

Abstract

A surgeon performing laparoscopic pelvic surgery must have a number of approaches to a uterus that is obstructing visualization or preventing mobilization of the rectum. Techniques to suspend or retract the uterus are readily performed and include direct suspension via a suture placed through the uterus, around the broad ligament, or with the assistance of a fan retractor or an instrument placed through an additional port.

Keywords

Uterine suspension Pelvic surgery Laparoscopic rectal resection Retraction Visualization Operative technique 

Suggested Reading

  1. 1.
    Ashley SW. Left hemicolectomy and sigmoid colon. In: Matteotti R, editor. Minimally invasive surgical oncology state-of- the-art cancer management. Springer; New York, NY: 2016. p. 224.Google Scholar
  2. 2.
    Lichliter WE. Techniques in total mesorectal excision surgery. Clin Colon Rectal Surg. 2015;28(1):21–7.  https://doi.org/10.1055/s-0035-1545066.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Puntambekar SP, Patil AM, Rayate NV, Puntambekar SS, Sathe RM, Kulkarni MA. A novel technique of uterine manipulation in laparoscopic pelvic oncosurgical procedures: “the uterine hitch technique”. Minim Invasive Surg. 2010;2010:836027.  https://doi.org/10.1155/2010/836027.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryLewis Katz School of Medicine at Temple University and the Temple University Health SystemPhiladelphiaUSA
  2. 2.Department of Surgery, Temple University Hospital, Lewis Katz School of Medicine at Temple UniversityPhiladelphiaUSA

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