Methodological aspects of radical hysterectomy using water-jet tissue dissection

Meshkova M.A.; Mukhtarulina S.V.; Novikova E.G.

doi:https://doi.org/10.17116/onkolog20231201110

Meshkova M.A.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia;
N.A. Lopatkin Research Institute of Urology and Interventional Radiology — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Mukhtarulina S.V.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Novikova E.G.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Methodological aspects of radical hysterectomy using water-jet tissue dissection

Authors:

Meshkova M.A., Mukhtarulina S.V., Novikova E.G.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2023;12(1): 10‑15

DOI: 10.17116/onkolog20231201110

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To cite this article:

Meshkova MA, Mukhtarulina SV, Novikova EG. Methodological aspects of radical hysterectomy using water-jet tissue dissection. P.A. Herzen Journal of Oncology. 2023;12(1):10‑15. (In Russ.)
https://doi.org/10.17116/onkolog20231201110

Подписка 2026 Онкология. Журнал им. П.А. Герцена (P.A. Herzen Journal of Oncology)

Использование инфографики авторами научных работ

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OBJECTIVE

To optimize functional outcomes after type C1 extended radical hysterectomy (ERH) using a water-jet dissector.

SUBJECTS AND METHODS

The investigation enrolled 189 patients with morphologically verified Stage IB1-IIB cervical cancer. A study group consisted of 58 patients who had undergone type C1 ERH with pelvic and para-aortic lymphadenectomy utilizing the water-jet dissection technique with the ERBEJET2 device. Control Group 1 consisted of 79 patients who had undergone surgical treatment via type C1 ERH with pelvic and para-aortic lymphadenectomy without using the water-jet dissection technique. Control Group 2 included 52 patients who had been surgically treated using type C2 ERH with pelvic and para-aortic lymphadenectomy.

RESULTS

The water-jet dissection technique used in the study group could reduce urethral catheter removal time (2.48 days versus 6.9 and 12.1 days) and minimize urinary recovery time according to the residual urine volume of less than 100 ml (3.1 days versus 10.2 and 21.2 days) (p<0.001). In the study group, none of the patients showed clinical signs of neurogenic bladder dysfunction in the postoperative period.

CONCLUSION

Thus, the proposed method makes it possible to prevent nerve thermal degeneration and to preserve the nerve plexus functional integrity.

Keywords:

cervical cancer

nerve-sparing radical hysterectomy

water-jet dissection

bladder dysfunction

Authors:

Meshkova M.A.

Mukhtarulina S.V.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Novikova E.G.

P.A. Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center of the Ministry of Health of Russia

Received:

06.11.2022

Accepted:

14.11.2022

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References:

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