Medical terms can be intimidating for many patients. In the CIGC A Look Inside for Patients series, we will present a more approachable perspective on some of the terms used, so that you can wrap your mind around your options when you discuss them with your specialist. Women should always opt for the most minimally invasive GYN surgery possible for their condition.
A Look Inside: Retroperitoneal Dissection
Retroperitoneal Dissection Makes Two-Incision Laparoscopic GYN Surgery Possible
DualPortGYN is one of the safest GYN surgery options available. Retroperitoneal dissection (RPD) is a procedure that allows The Center for Innovative GYN Care specialists Dr. Paul J. MacKoul and Dr. Natalya Danilyants to clearly see the entire area of your surrounding vital structures (bowel, bladder, ureter, and blood vessels) during a DualPortGYN surgery. RPD greatly decreases the risk of injury to these structures that can be easily damaged if not seen.
RPD makes two-incision minimally invasive laparoscopic procedures possible for conditions that would have otherwise required an open surgical approach. Used together, RPD and DualPortGYN surgery can prevent the pain, complications, and long-term recovery of open surgeries. These procedures can be completed more safely, more efficiently, and with less risk of complications.
- Can be used for fibroids, endometriosis, pelvic masses, prolapse, and cancer.
- Help patients recover faster than standard laparoscopic, robotic, or open surgical procedures.
- Are extremely effective in controlling blood loss during surgery, making it safer for the patient.
- Can be used for almost any GYN procedure.
HOW IT WORKS
If you have ever used GPS when driving, you know how easy it can be to find your way. Retroperitoneal dissection is like a GPS mapping system for the pelvis. Using this powerful technique, DualPortGYN procedures allow the surgeon to completely identify of all the structures of the pelvis.
RPD allows the surgeon to avoid wrong turns and get through the surgery safely, effectively, and quickly. Without a road map of the pelvis to follow, the surgeon can get lost, take much longer to get the job done, or in the worst case scenario, get into an accident. Using the retroperitoneal approach, DualPortGYN procedures are safe, efficient, and the least costly of any GYN surgical approach for hysterectomy, endometriosis, or ovarian cyst removal.
Procedures used by other surgeons, including standard laparoscopic or robotic approaches to surgery, do not “map” the pelvis using the retroperitoneal approach. If vital structures are not identified during surgery, there is a risk of injury leading to higher complication rates and longer recovery times.