The application of pringle manoeuvre, type three liver mobilisation, full thickness diaphragmatic resection with primary closure technique and peritonectomy in the management of advanced ovarian malignancy.

IF 2 Q2 OBSTETRICS & GYNECOLOGY

Obstetrics and Gynecology Science Pub Date : 2023-09-01 Epub Date: 2023-06-29 DOI:10.5468/ogs.23029

Sarah Louise Smyth, Hooman Soleymani Majd

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引用次数: 0

Abstract

Objective: We present an educational technique for the safe completion of complete cytoreduction of diaphragmatic disease for the management of advanced ovarian malignancy.

Methods: We demonstrated these steps with attention to anatomical landmarks and surgical approaches, considering intraoperative and postoperative morbidity and mortality.

Results: We present the case of a 49-year-old female patient diagnosed with suspected stage 3C ovarian malignancy following diagnostic laparoscopy. We demonstrate the surgical application of the Pringle manoeuvre, type 3 liver mobilisation, and full-thickness diaphragmatic resection. This was completed with a primary closure technique, with integrity ensured through the performance of an air test and Valsalva manoeuvre. Final histology confirmed a serous borderline tumour with invasive implants within a port site nodule (stage 4A).

Conclusion: This technique affirms the essential skills in gynaecological oncology training and details a challenging case requiring advanced surgical skills and knowledge, with specific consideration for intraoperative multidisciplinary decision-making.

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弹簧手法、三型肝动员、全厚膈肌切除术和腹膜切除术在晚期卵巢恶性肿瘤治疗中的应用。

目的：我们提出一种安全完成膈肌疾病完全细胞减少治疗晚期卵巢恶性肿瘤的教育技术。方法：我们展示了这些步骤，注意解剖标志和手术方法，考虑到术中和术后的发病率和死亡率。结果：我们报告了一例49岁的女性患者，在诊断性腹腔镜检查后被诊断为疑似3C期卵巢恶性肿瘤。我们展示了普林格尔手法、3型肝动员术和全层膈肌切除术的外科应用。这是通过一种主要的闭合技术完成的，通过空气测试和Valsalva操纵确保了完整性。最终组织学证实，在端口部位结节内有浸润性植入物的浆液性交界性肿瘤（4A期）。结论：这项技术肯定了妇科肿瘤学培训的基本技能，并详细介绍了一个需要高级手术技能和知识的具有挑战性的病例，并特别考虑了术中的多学科决策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetrics and Gynecology Science Medicine-Obstetrics and Gynecology

CiteScore

3.80

自引率

15.80%

发文量

审稿时长

16 weeks

期刊介绍： Obstetrics & Gynecology Science (NLM title: Obstet Gynecol Sci) is an international peer-review journal that published basic, translational, clinical research, and clinical practice guideline to promote women’s health and prevent obstetric and gynecologic disorders. The journal has an international editorial board and is published in English on the 15th day of every other month. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere. The journal has been publishing articles since 1958. The aim of the journal is to publish original articles, reviews, case reports, short communications, letters to the editor, and video articles that have the potential to change the practices in women''s health care. The journal’s main focus is the diagnosis, treatment, prediction, and prevention of obstetric and gynecologic disorders. Because the life expectancy of Korean and Asian women is increasing, the journal''s editors are particularly interested in the health of elderly women in these population groups. The journal also publishes articles about reproductive biology, stem cell research, and artificial intelligence research for women; additionally, it provides insights into the physiology and mechanisms of obstetric and gynecologic diseases.