Specimen Retrieval

After placing the drainage tube via the port IV under vision and affixing it to the skin, the prostate is extracted within the organ bag via the umbilical incision (site of trocar I). For this purpose, the rectus fascia is incised according to the size of the gland. The entire specimen then is sent to the pathologist for staging of the disease. All steps are summarized in Table 5.

TABLE4 ■ Choreographed Sequence and Planning of Interrupted Vesi-Courethral Anastomosis During the Heilbronn Technique

Stitch sequence

Location

Plan

Which hand

1

6 o'clock

Outside-in on the urethra

Right hand, forehand stitch

Inside-out on the bladder neck

Right hand, forehand stitch

2

5 o'clock

Outside-in on the bladder neck

Right hand, forehand stitch

Inside-out on the urethra

Left hand, forehand stitch

S

3 o'clock

Outside-in on the bladder neck

Right hand, forehand stitch

Inside-out on the urethra

Left hand, forehand stitch

4

7 o'clock

Outside-in on the bladder neck

Left hand, forehand stitch

Inside-out on the urethra

Right hand, forehand stitch

5

9 o'clock

Outside-in on the bladder neck

Left hand, forehand stitch

Inside-out on the urethra

Right hand, forehand stitch

6

12 o'clock

Outside-in on the bladder

Right hand, forehand stitch

(triangle suture)

neck (right side)

Inside-out on the urethra

Right hand, backhand stitch

Outside-in on the bladder

Left hand, forehand stitch

neck (left side)

Inside-out on the bladder

Left hand, forehand stitch

neck (right side)

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