SAFE (Saline-Assisted Fascial Exposure) for Nerve-Sparing during Robotic-Assisted Radical Prostatectomy (RARP)

Description

The SAFE technique is performed once the surgeon has done an early release of the neurovascular bundle. Under direct vision and using the right assistant port, a transperitoneal 23 Gauge x 3/4 " butterfly needle is introduced to inject 30 cc of saline solution in between the layers of the periprostatic fascia. The injection is carried out until engorgement or ballooning of the tissue is observed. Advantages of the technique: Facilitates an atraumatic dissection of the multilayer periprostatic fascia, promoting the visualization of the neurovascular hammock. It is a harmless procedure, easy to implement in clinical practice.