Fig. 32.1
MRI image of bladder mass
Fig. 32.2
Cystoscopy reveals a mass in the supratrigonal area
Fig. 32.3
Ports position
Fig. 32.4
Initial view of pelvis after release of omental adhesions
Fig. 32.5
Endometriotic mass seen in a collapsed bladder
Fig. 32.6
Endometriotic mass felt to be arising from uterus
Fig. 32.7
Cystotomy being done around the mass
Fig. 32.8
Cystotomy done and endometriotic mass identified
Fig. 32.9
Mass excised all around
Fig. 32.10
Bladder after excision of mass
Fig. 32.11
Bladder further dissected off from uterus in preparation for Hysterectomy
Fig. 32.12
Hysterectomy completed. Vaginal cone used to prevent pneumo-leak. Specimen along with uterus removed through colpotomy and vagina packed
Fig. 32.13
Cystotomy closure with 3-0 vicryl suture in progress
Fig. 32.14
Cystotomy closure in progress
Fig. 32.15
Second layer closure with 2-0 vicryl completed. Bladder distended to check for leak
Fig. 32.16
Omental tacking over suture line
32.8 Partial Cystectomy in TCC
Figures 32.17–32.33
Fig. 32.17
CT Scan showing solitary bladder mass (TUR biopsy proved muscle invasive)
Fig. 32.18
Ports position
Fig. 32.19
Retzius space developed
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