Laparoscopic Madigan Prostatectomy



Fig. 55.1
Extraperitoneal space creation using balloon trocar



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Fig. 55.2
Ports position


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Fig. 55.3
Extraperitoneal space created by balloon inflation


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Fig. 55.4
Initial view of bladder and prostate from extraperitoneal space


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Fig. 55.5
Dorsal vein handled with ultrasonic shears


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Fig. 55.6
Preprostatic fat cleared


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Fig. 55.7
Endopelvic fascia incised


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Fig. 55.8
Transverse capsulotomy with ultrasonic shears


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Fig. 55.9
Fascial plane developed just superficial to adenoma


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Fig. 55.10
Adenoma being cleared from the right lateral aspect of capsule


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Fig. 55.11
Adenoma enucleated by blunt and sharp dissection


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Fig. 55.12
Adenoma separated from urethra


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Fig. 55.13
Small rent in urethra during enucleation


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Fig. 55.14
Dissection near the prostatic apex


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Fig. 55.15
Adenoma enucleated


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Fig. 55.16
Urethral rent being closed with 4-0 vicryl

Oct 14, 2017 | Posted by in UROLOGY | Comments Off on Laparoscopic Madigan Prostatectomy

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