[The use of the Babcock forceps for hemostasis of the pre-prostatic veins in radical prostatectomy of total cystoprostatectomy].
Haemostasis of Santorini's venous plexus during radical prostatectomy or total cystoprostatectomy is a delicate phase of the procedure which facilitates the conditions of the surgery and the postoperative course. Based on a series of 150 prostatectomies, the authors describe their technique using Babcock forceps for "en bloc "ligation of the venous plexus. After opening the pelvic aponeurosis and section of the puboprostatic ligaments, a Babcock forceps is placed above the urethra and prostatic apex, including all of Santorini's plexus enclosed by its fibrous tissue, allowing exposure of the abascular plane of cleavage situated between the anterior surface of the urethra and this plexus. Klikenberg scissors are then introduced into the depression formed underneath the jaws of the Babcock forceps and are guided by the index finger into the symmetrical depression of the other side. The hypogastric connective tissue is perforated lateromedially and the scissors are gently opened to enlarge the passage. A right-angle dissector is then inserted and grips n.1 or 2 absorbable suture material which, after removing the Babcock forceps, is used to tie all of the anterior venous complex. This technical device allows a more reproducible and standardised approach to this operative step.
Bourdon
J
J
Service d'Urologie, Centre Hospitalier Départemental, Les Oudairies, La Roche-sur-Yon.
Wetzel
O
O
D015653:Cystectomy; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011467:Prostate / Q000098:blood supply*; D011468:Prostatectomy; D013525:Surgical Instruments; D014680:Veins
Utilisation de la pince de Babcock pour l'hémostase des veines pré-prostatiques lors de la prostatectomie radicale ou de la cystoprostatectomie totale.