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

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Transvaginal access to the retroperitoneum

S Perretta, MD, PhD B Dallemagne, MD P Allemann, MD J Nassif, MD C Zacharopoulou, MD A Wattiez, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2008;08(03). URL: http://websurg.com/doi/vd01en2304

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 841
  • 7
  • 2008-03-07
Share it
This video demonstrates the transvaginal approach to the retroperitoneal space. A posterior colpotomy is carried out with the needle-knife. The retroperitoneal space is entered digitally enlarging the posterior vaginal incision. In order to avoid peritoneal entering, precise identification of key anatomical landmarks is mandatory. A retroperitoneal tunnel is created using both blunt and balloon dissection with the assistance of CO2 insufflation set at 12mmHg. Demonstrated herein are the technical steps of right adrenalectomy, left nephrectomy and a right latero-caval lymphadenectomy.