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Term Anatomical Variations Anatomical variations are characterized as atypical morphological and positional representations of anatomical entities. Because misidentification of certain organs can result in iatrogenic injuries and postoperative sequelae, Pelvic's anatomical variations during abdominal hysterectomy may be of clinical concern, given that misidentifying them could result in iatrogenic injuries and postoperative sequelae. The aim of the present study was to identify and highlight the anatomical structures of concern and their variations in the surgeon operating abdominal hysterectomy for benign conditions. Including the aspects that were not relevant to benign conditions, research into the management of malignant diseases necessing lymphadenectomy and various types of surgical approach was reviewed. Results Due to anatomical differences, the uterine arteries and retractors are the anatomical structures most vulnerable during abdominal hysterectomy. Conclusions While it is unlikely, the presence of anatomical variations of the uterine arteries and ureters could exacerbate the possibility of complications if they are unaware.
Source link: https://europepmc.org/article/MED/36254107
Background Laparoscopic radical hysterectomy and open abdominal radical hysterectomy have been used for cervical cancer therapy. We wanted to perform a meta-analysis to compare the efficacy and safety of LRH and ARH in the treatment of cervical cancer in order to provide solid evidence for cervical cancer therapy. Methods Two investigators independently searched PubMed and other databases for randomized controlled trials comparing LRH and ARH for cervical cancer care up to May 31, 2022. The results of fourteen RCTs with a total of 1700 patients with cervical cancer have been finally included. According to meta-analysis results, LRH reduced intraoperative blood loss, the first time to flatus passage, and the number of lymph nodes removed were greater. Conclusions LRH has more advantages over ARH in the treatment of cervical cancer than ARH.
Source link: https://europepmc.org/article/MED/36256872
Although an open approach to stages IA1-IIA2 are two of the key therapies for stage IA1-IIA2, the Laparoscopic Approach to Cervical Cancer's findings in 2018 radically changed the field, with a four-fold higher incidence of recurrence and a six-fold higher risk of all-cause death relative to an open approach. We wanted to evaluate surgical outcomes of abdominal radical hysterectomy and total laparoscopic radical hysterectomy for cervical cancer, as well as data collected before the LACC trial. Operate time in TLRH was significantly longer than that in ARH, according to our retrospective review, but this disadvantage could be offset by lower intra-operative blood loss in TLRH relative to ARH. Future research should investigate whether various histology/grades of cervical cancer, as well as specific subpopulations, may have dramatically different results whether minimally invasive surgery or laparotomy, with or without neoadjuvant chemotherapy, may have dramatically different results.
Source link: https://europepmc.org/article/MED/36293758
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