A Reinterpretation of paracolpium in radical hysterectomy: new insights into its surgical implication.
J Minim Invasive Gynecol
; 2024 Jun 28.
Article
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| MEDLINE
| ID: mdl-38945252
ABSTRACT
OBJECTIVE:
To reinterpret the surgical anatomy of paracolpium in radical hysterectomy and to explore its implications for the surgery.SETTING:
The term "paracolpium," first defined by Fothergill in 1907, is essential in radical hysterectomy. However, several challenges remain unresolved. These include (1) inconsistent terminology in relation to its defined attributes; (2) the lack of consensus on anatomical landmarks; (3) unclear associations with the cardinal and sacral ligaments; and (4) the critical implications and requirements of paracolpium resection in radical hysterectomy practices.PARTICIPANTS:
A patient in her 60s diagnosed with stage IB2 cervical cancer was enrolled in a clinical trial and assigned to the laparoscopic surgery group. A step-by-step, narrated video demonstration.INTERVENTIONS:
During the procedure, post-excision of the uterosacral, cardinal, and vesicovaginal ligaments, we identified a ligament-like structure situated between the middle third of the vagina and the pelvic wall. We have termed this structure the "paracolpium ligament." A detailed anatomical description was performed, outlining its crucial attachments.
Texto completo:
1
Banco de datos:
MEDLINE
Idioma:
En
Revista:
J Minim Invasive Gynecol
Asunto de la revista:
GINECOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
China