We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

Cherif Youssef Azer AKLADIOS

Hôpitaux Universitaires de Strasbourg
Strasbourg, France
MD
664 likes
37659 views
6 comments
Filter by
Clear filter Specialty
View more

Clear filter Media type
View more
Clear filter Category
View more
Lumbo-aortic lymphadenectomy: improving exposure with the T’lift™ device
Lymph node dissection in the lumbo-aortic area is a challenging procedure. The main concerns during surgery include the risk of major vascular injury and the potential lesion of other structures such as the ureter or the duodenum. A thorough surgical strategy and adequate exposure are mandatory to reduce the possibility of complications.
During this surgical demonstration, the most important aspects of the strategy are discussed. Special emphasis is put on exposure and the use of the T’lift™ device is shown. This simple technique allows for a fast and safe suspension of the peritoneum, improving the visualization of the operative field.
A Wattiez, M Puga, CY Akladios, C Redondo Guisasola, Al Ussia
Surgical intervention
5 years ago
4176 views
59 likes
0 comments
15:01
Lumbo-aortic lymphadenectomy: improving exposure with the T’lift™ device
Lymph node dissection in the lumbo-aortic area is a challenging procedure. The main concerns during surgery include the risk of major vascular injury and the potential lesion of other structures such as the ureter or the duodenum. A thorough surgical strategy and adequate exposure are mandatory to reduce the possibility of complications.
During this surgical demonstration, the most important aspects of the strategy are discussed. Special emphasis is put on exposure and the use of the T’lift™ device is shown. This simple technique allows for a fast and safe suspension of the peritoneum, improving the visualization of the operative field.
Laparoscopic rectovaginal resection for endometriosis: transvaginal specimen extraction and anastomosis
The authors demonstrate a rectovaginal resection technique for invasive endometriosis. The original nature of this approach hinges on the mesorectum dissection technique in contact with the rectal wall in order to preserve rectal vascularization and innervation. Additionally, rectal exteriorization through the vagina to prepare for the colorectal anastomosis using a mechanical circular stapling without any abdominal incision is truly original as it contributes to limiting parietal trauma and improving cosmesis. The film truly focuses on the digestive approach just after anterior pelvic dissection has been completed by the team of gynecologic surgeons.
J Leroy, CY Akladios, V Thoma, A Wattiez, J Marescaux
Surgical intervention
6 years ago
1315 views
23 likes
0 comments
21:33
Laparoscopic rectovaginal resection for endometriosis: transvaginal specimen extraction and anastomosis
The authors demonstrate a rectovaginal resection technique for invasive endometriosis. The original nature of this approach hinges on the mesorectum dissection technique in contact with the rectal wall in order to preserve rectal vascularization and innervation. Additionally, rectal exteriorization through the vagina to prepare for the colorectal anastomosis using a mechanical circular stapling without any abdominal incision is truly original as it contributes to limiting parietal trauma and improving cosmesis. The film truly focuses on the digestive approach just after anterior pelvic dissection has been completed by the team of gynecologic surgeons.
Technical aspects of the dissection of the anterior parametrium
The parametrium is defined by the tissues that surround the uterine artery between the uterine corpus and the pelvic sidewall cranial to the ureter.
It has two portions, the medial portion corresponding to the vesicouterine ligament, and the lateral portion corresponding to the lateral ligament of the bladder.
It is a very complex area and its dissection is commonly performed in laparoscopic radical hysterectomy. It requires a perfect knowledge of the specific anatomy as this site is a known risk area for major complications such as bleeding and functional disorders.
Concerning functional disorders of bladder, rectum and genital organs, three main sites should be identified in order to avoid damaging the nerves: the external leaf of the uterosacral ligament (inferior hypogastric plexus), the inferior third of the parametrium (pelvic splanchnic root nerves), and the posterior leaf of the lateral ligament of the bladder.
CY Akladios
Lecture
6 years ago
2781 views
38 likes
2 comments
17:49
Technical aspects of the dissection of the anterior parametrium
The parametrium is defined by the tissues that surround the uterine artery between the uterine corpus and the pelvic sidewall cranial to the ureter.
It has two portions, the medial portion corresponding to the vesicouterine ligament, and the lateral portion corresponding to the lateral ligament of the bladder.
It is a very complex area and its dissection is commonly performed in laparoscopic radical hysterectomy. It requires a perfect knowledge of the specific anatomy as this site is a known risk area for major complications such as bleeding and functional disorders.
Concerning functional disorders of bladder, rectum and genital organs, three main sites should be identified in order to avoid damaging the nerves: the external leaf of the uterosacral ligament (inferior hypogastric plexus), the inferior third of the parametrium (pelvic splanchnic root nerves), and the posterior leaf of the lateral ligament of the bladder.