Auditory identification of pelvic blood vessels during laparoscopically assisted vaginal hysterectomy. Use of the endoscopic Doppler probe.
The endoscopic Doppler probe allows instantaneous, audible detection of the uterine arteries and other large pelvic blood vessels by simple contact. In addition, the Doppler probe reduces the probability of ureteral injury since it allows the surgeon to clearly distinguish the uterine artery from the ureter. In our experience, the endoscopic Doppler system has effectively reduced the risk of bleeding and ureteral injury during difficult laparoscopic hysterectomies in which the recognition and safe dissection of the uterine arteries and ureters are difficult to achieve.
Pelosi
M A
MA
University of Medicine and Dentistry of New Jersey, Newark.
Pelosi
M A
MA
D001158:Arteries / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D014463:Ultrasonography; D014599:Uterus / Q000098:blood supply*