Radical retropubic prostatectomy: Contemporary modifications

Murugesan Manoharan, Mark Soloway

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The superior leaflet of the rectus sheath is reflected off the rectus muscle for a distance of 3 to 4 cm. To achieve this, two Allis clamps are applied to the superior leaflet of the rectus sheath on either side of the midline, and gentle traction is exerted. The rectus sheath is connected to the rectus muscle only by loose areolar tissue laterally and fibrous tissue along the midline. This is separated easily by a combination of blunt dissection and electrocautery (Figure 11.1C). A few small branches of the inferior epigastric artery pierce the rectus muscle and supply the rectus sheath. These should be identified and cauterized, because they may be avulsed easily and retract into the rectus muscle, possibly leading to a rectus hematoma.

Original languageEnglish (US)
Title of host publicationTreatment Methods for Early and Advanced Prostate Cancer
PublisherCRC Press
Pages95-100
Number of pages6
ISBN (Electronic)9780203091432
ISBN (Print)0415458935, 9780415458931
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Manoharan, M., & Soloway, M. (2008). Radical retropubic prostatectomy: Contemporary modifications. In Treatment Methods for Early and Advanced Prostate Cancer (pp. 95-100). CRC Press.