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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/20449
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dc.contributor.authorSinescu, I.
dc.contributor.authorGluck, G.
dc.date.accessioned2022-04-21T11:43:43Z
dc.date.available2022-04-21T11:43:43Z
dc.date.issued2002
dc.identifier.citationSINESCU, I., GLUCK, G. Radical cystectomy (anterior exenteration) in female patients. In: Dializa și Transplant Renal din Republica Moldova: conferința 3-a de Urologie, conferința 2-a de Nefrologie: culegere de lucrări. Chișinău, 2002, p. 86.
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/20449
dc.description.abstractIntroduction: Radical cystectomy or anterior exenteration, is the treatment of choice for infiltrative bladder tumours in female patients. Radical cystectomy consists in ileo-pelvic lymphodissection + extirpation of: a), urinary bladder + urethra, b). uterus, ovary, uterine tubes, c). anterior vaginal wall. Materials and Methods: From the radical 1.200 cystectomies performed between 1975-1998, to women, 164 anterior pelvectomies have been made. The female patient in a dorsal decubitus position with the elevator located under the ombilicus. After checking the bladder lesions, liver, ileopelvic and para-aortic adenopathies, the peritoneum is incised at the level of the iliac vessels and the urethers are dissected up to the juxta-vesical level, where are divided. The ligature / cross-sectioning of the lombo-ovarian ligaments and round ligament is practised. The ileo-pelvin lymphodissection is practised. The incision of the recto-vaginal peritoneum is followed by the decollation of vagina from the rectum. The ligature of the vascular pedicles and cross-sectioning, follows. The posterior vaginal wall is transversally incised. Anteriorely the pubo-vesical ligaments and the dorsal vein of the clitoris are ligated and cross-sectioned. Laterally, the lateral walls of the vagina are incised. The urethra is isolated and divided. The operation is ending by the suture of the vaginal anterior wall. Results and Conclusions: Female radical cystectomy may be performed with an acceptable low rate of morbidity and mortality. The operation is the election procedure for multifocal cancer and / or infiltrative in the urinary bladder.en_US
dc.language.isoenen_US
dc.publisherSocietatea Urologilor din Republica Moldovaen_US
dc.relation.ispartofCulegere de lucrări Conferința 3-a de Urologie, Conferința 2-a de Nefrologie: Dializa și Transplant Renal din Republica Moldova (30 - 31 octombie 2002)en_US
dc.titleRadical cystectomy (anterior exenteration) in female patientsen_US
dc.typeOtheren_US
Appears in Collections:Culegere de lucrări Conferința 3-a de Urologie, Conferința 2-a de Nefrologie: Dializa și Transplant Renal din Republica Moldova (30 - 31 octombie 2002)

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