Laparoscopic retrovesical lower uterine segment bypass for hysterectomy with previous caesarean section: Hung Up the Bladder Bypass (HUBB) technique

被引：0

作者：

Tamate, Masato ^{[1
]}

Matsuura, Motoki ^{[1
]}

Wada, Nagisa ^{[1
]}

Adachi, Takaki ^{[1
]}

Yorozu, Kazuma ^{[1
]}

Arimoto, Chihiro ^{[1
]}

Saito, Tsuyoshi ^{[1
]}

机构：

[1] Univ Sapporo, Sapporo Med Univ Hosp, Dept Obstet & Gynecol, South 1 West 16,Chuo Ku, Sapporo, Hokkaido 0608543, Japan

来源：

JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION | 2023年 / 52卷 / 08期

关键词：

Bladder injury; Bladder dissection; Laparoscopy; Hysterectomy; Caesarean section;

D O I：

10.1016/j.jogoh.2023.102629

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Patients with a history of cesarean section and a highly adherent bladder may have difficulty in bladder dissection and may suffer damage. It may also be difficult to orient the patient for repair in the event of damage. In such cases, dissection from the side between the bladder and cervix is a good way to avoid complication. This video reviews the steps of the HUBB technique procedure, provides tips and tricks for performing a successful adhesiolysis, and illustrates the procedure's adaptability. The first is the identification of the uterine artery and its position. Step2, a Laparoscopic retrovesical lower uterine segment bypass is created. Step3 a Hung Up the Bladder Bypass is created, the bladder is completely dissected. Step4, an adhesiolysis and leak test is performed.In this report, we would like to introduce a technique for creating a retrovesical lower uterine segment bypass using a laparoscope and traction on the bypass to dissect the bladder.

引用

页数：2

共 4 条

[1] Bowel and Bladder Injury Repair and Follow-up After Gynecologic Surgery [J].