Control of Lateral Pedicles and Preservation of the Neurovascular Bundles

Lateral Prostectomy

This portion of the operation is typically performed with the bipolar cautery on the left and the scissors on the right, but the cautery hook and forceps can be used. An assistant provides contralateral traction by grasping either the ipsilateral seminal vesicle or the edge of the prostate (Fig. 7). The proximal pedicles are sharply dissected free from FIGURE4 Endopelvic fascia dissection. After the endopelvic fascia is incised (arrow indicating edge of fascia), a space is developed lateral to...

Contraindications To Peritoneal Dialysis Catheter Placement

There are relatively few contraindications to the placement of peritoneal dialysis catheters. The most important consideration is whether or not the abdominal cavity has previously been violated. Previous pelvic surgery that may lead to adhesions, colostomy, ileostomy, or urinary diversion would be a relative contraindication. Absolute contraindications include aortic vascular graft within three months, presence of ventriculoperitoneal shunt, ascites, and peritonitis. Previous retroperitoneal...