Ureteral approach in Wertheim surgery: a facilitating maneuver

Ureteral approach in Wertheim surgery: a facilitating maneuver

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Objective: The aim of the present study was to assess the resultof a single maneuver facilitating ureteral dissection.Methods: Onehundred and eleven patients underwent a modified 5" Charm Pack Patterns procedure of theWertheim-Meigs technique, from February 1995 to December 2003.A detailed description of the surgery is provided.

Results: The surgerydid not last long and no urinary Bar Stools fistulas were observed.Bleeding wassimilar to the standard procedure.Conclusion: The new maneuverfor ureter dissection was successful and facilitated the teaching ofradical hysterectomy.