The Experts below are selected from a list of 12 Experts worldwide ranked by ideXlab platform

C Wilson - One of the best experts on this subject based on the ideXlab platform.

  • ep1335 total laparoscopic hudson s procedure pelvic and para aortic node dissection omentectomy with primary re anastomosis and loop ileostomy for endometrioid adenocarcinoma in association with endometriosis
    International Journal of Gynecologic Cancer, 2019
    Co-Authors: M Graham, I Harley, A Armstrong, E Craig, C Wilson
    Abstract:

    Introduction/Background Video presentation of procedure. Methodology This video will outline the procedure above. Results This patient previously underwent a right ovarian cystectomy for endometrioma with final histopathology confirming an endometrioid adenocarcinoma in association with endometriosis - at least FIGO 1C1. Pre-operative MRI and CT suggested endometriosis/disease in Recto-Uterine Pouch, with no evidence of disease outside the pelvis. Completion surgery with a Hudson’s and comprehensive surgical staging was planned as a laparoscopic procedure. On initial inspection Intravenous Indocyanine Green (ICG) was used to facilitate the identification of endometriosis/disease in the pelvis. Following surgical staging, including en-bloc dissection of the uterus, tubes, ovaries and rectosigmoid, the specimen was removed via the vagina with the aid of an Alexis retractor. For re-anastamosis the distal descending colon was delivered through the vagina, the anvil applied, and the anastomosis completed laparoscopically. This anastomosis was then de-functioned via a loop ileostomy. ICG was used to confirm perfusion of the anastomosis. Conclusion In this video we will show the steps of this laparoscopic procedure where bulky disease was resected en-bloc laparoscopically. Disclosure nil

Leanza G - One of the best experts on this subject based on the ideXlab platform.

  • Neoplastic sigmoid-uterine fistula. An exceptional complication of large intestine cancer.
    Il Giornale di chirurgia, 2017
    Co-Authors: Guido Nicola Zanghì, Vito Leanza, Rosario Vecchio, A D'agati, S Cordova, N M A Rinzivillo, M Lodato, Leanza G
    Abstract:

    Neoplastic sigmoid-uterine fistula is an extremely rare condition because the uterus is a thick and muscular organ. A 74-year-old woman was admitted to the First Aid Station suffering from abdominal pain and foul smelling vaginal discharge. Gynaecological examination showed fecal drainage from the cervical orifice, while the uterus was regular in size but very firm and painful. Ovaries and fallopian tubes were not palpable owing to abdominal tenderness. Ultrasounds reveled inhomogeneous thickening of uterine cavity, without detecting fistula. Contrast Medium CT (CMCT) showed Douglas' Recto-Uterine Pouch occluded. The sigmoid wall was very thin exception a site where a fistula was suspected. At the surgery severe adhesions of the sigma-rectum with the posterior uterine wall were observed. After adhesiolysis, 18 cm colon-sigma-rectum was removed. Total hysterectomy with salpingooophorectomy was performed. Lymphadenectomy ended the procedure. Anatomical specimen confirmed sigmoid-uterine fistula. At histology a mildly differentiated adenocarcinoma of sigma-rectum was shown. Postoperative course was uneventful. Such a case of neoplastic sigmoiduterine fistula has not been reported so far.

M Graham - One of the best experts on this subject based on the ideXlab platform.

  • ep1335 total laparoscopic hudson s procedure pelvic and para aortic node dissection omentectomy with primary re anastomosis and loop ileostomy for endometrioid adenocarcinoma in association with endometriosis
    International Journal of Gynecologic Cancer, 2019
    Co-Authors: M Graham, I Harley, A Armstrong, E Craig, C Wilson
    Abstract:

    Introduction/Background Video presentation of procedure. Methodology This video will outline the procedure above. Results This patient previously underwent a right ovarian cystectomy for endometrioma with final histopathology confirming an endometrioid adenocarcinoma in association with endometriosis - at least FIGO 1C1. Pre-operative MRI and CT suggested endometriosis/disease in Recto-Uterine Pouch, with no evidence of disease outside the pelvis. Completion surgery with a Hudson’s and comprehensive surgical staging was planned as a laparoscopic procedure. On initial inspection Intravenous Indocyanine Green (ICG) was used to facilitate the identification of endometriosis/disease in the pelvis. Following surgical staging, including en-bloc dissection of the uterus, tubes, ovaries and rectosigmoid, the specimen was removed via the vagina with the aid of an Alexis retractor. For re-anastamosis the distal descending colon was delivered through the vagina, the anvil applied, and the anastomosis completed laparoscopically. This anastomosis was then de-functioned via a loop ileostomy. ICG was used to confirm perfusion of the anastomosis. Conclusion In this video we will show the steps of this laparoscopic procedure where bulky disease was resected en-bloc laparoscopically. Disclosure nil

Frédérique Peschaud - One of the best experts on this subject based on the ideXlab platform.

  • Female pelvic autonomic neuroanatomy based on conventional macroscopic and computer-assisted anatomic dissections.
    Surgical and radiologic anatomy : SRA, 2011
    Co-Authors: David Moszkowicz, Thomas Bessede, Gérard Benoit, Bayan Alsaid, Christophe Penna, Frédérique Peschaud
    Abstract:

    To confront nerve dissection, tissue staining, nerve immunolabelling and Computer-Assisted Anatomic Dissection (CAAD) in identifying the precise location and origin of intrapelvic autonomic nerve fibers and to provide a three-dimensional (3D) representation of their relationship to other anatomical structures. Serial transverse sections of the pelvic portion of five human female fetuses (18–31 weeks of gestation) were studied histologically (with hematoxylin/eosin and Masson trichrome) and immunohistochemically (anti-protein S100 antibody) digitized and reconstructed three-dimensionally with Surf driver software for Windows (Winsurf 4.3). Three fresh female adult cadavers were macroscopically dissected to individualize the inferior hypogastric plexus afferences and efferences and their anatomical relationships. This combined investigation including the CAAD technique allowed identifying the precise location and distribution of the pelvic nerve elements and their relationships to female pelvic organs. Hypogastric nerves (HN) were located in the retrorectal multilaminar structure and joined the homolateral inferior hypogastric plexus (IHP) at the lateral border of the Recto-Uterine Pouch. The intersection of the ureter with the posterior wall of the uterine artery precisely located the junction of HN and IHP. Antero-inferior branches supplying female sexual and continence organs originated from the antero-inferior angle of IHP and were bundled at the posterolateral vaginal wall. CAAD is an encouraging anatomical method for the development of anatomical and surgical research and teaching. Complementary to traditional anatomical studies, it may provide useful anatomical data for the comprehension of postoperative sexual and urinary dysfunction and the development of nerve-sparing surgical techniques.

I Harley - One of the best experts on this subject based on the ideXlab platform.

  • ep1335 total laparoscopic hudson s procedure pelvic and para aortic node dissection omentectomy with primary re anastomosis and loop ileostomy for endometrioid adenocarcinoma in association with endometriosis
    International Journal of Gynecologic Cancer, 2019
    Co-Authors: M Graham, I Harley, A Armstrong, E Craig, C Wilson
    Abstract:

    Introduction/Background Video presentation of procedure. Methodology This video will outline the procedure above. Results This patient previously underwent a right ovarian cystectomy for endometrioma with final histopathology confirming an endometrioid adenocarcinoma in association with endometriosis - at least FIGO 1C1. Pre-operative MRI and CT suggested endometriosis/disease in Recto-Uterine Pouch, with no evidence of disease outside the pelvis. Completion surgery with a Hudson’s and comprehensive surgical staging was planned as a laparoscopic procedure. On initial inspection Intravenous Indocyanine Green (ICG) was used to facilitate the identification of endometriosis/disease in the pelvis. Following surgical staging, including en-bloc dissection of the uterus, tubes, ovaries and rectosigmoid, the specimen was removed via the vagina with the aid of an Alexis retractor. For re-anastamosis the distal descending colon was delivered through the vagina, the anvil applied, and the anastomosis completed laparoscopically. This anastomosis was then de-functioned via a loop ileostomy. ICG was used to confirm perfusion of the anastomosis. Conclusion In this video we will show the steps of this laparoscopic procedure where bulky disease was resected en-bloc laparoscopically. Disclosure nil