Defining the Critical View of Safety and Safe Steps for Parametrial Transection in Minimally Invasive Hysterectomy: A Delphi Consensus Study
Published: 16 July 2026| Version 3 | DOI: 10.17632/7fzbcs59xx.3
Contributors:
Takayuki Takahashi, Risa Takai, Shin Takenaka, Hikaru Matsuoka, Iori Kisu, Yoichiro Yamamoto, Osamu Wada-Hiraike, , , Wataru YamagamiDescription
This Delphi study established consensus on specific surgical techniques to prevent bladder and ureteral injuries and reduce blood loss during cardinal ligament vessel transection. Key measures—such as maintaining a safe distance from the ureter, confirming the course of the deep uterine vein, and using vessel-sealing devices—achieved high agreement (RoA up to 97%). Most statements were adopted in round two, indicating strong and early expert consensus.
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Categories
Gynecology, Questionnaire, Delphi Method