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Figure 1 | BMC Research Notes

Figure 1

From: Blunt apical dissection during anatomic radical retropubic prostatectomy

Figure 1

After the endopelvic fascia has been incised bilaterally, blunt dissection is used to create a groove between the urethra and dorsal venous complex (DVC). A Mixter forceps is then passed in this groove and a #1 Vicryl tie is used to ligate the DVC. This maneuver helps to clearly delineate the apex and DVC. Next, two figure eight Vicryl sutures are placed as proximal as possible on the DVC. Lastly, two figure eight Vicryl suture (one at the bladder neck and another at the mid portion of the prostate on its anterior surface) are placed to minimize back bleeding. Now with the DVC secured and optimal vision of the apex of the prostate, the DVC may be transected.

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