Pelvic Neuroanatomy: An Overview of Commonly Encountered Pelvic Nerves in Gynecologic Surgery.

Journal of Minimally Invasive Gynecology
Gaby N MoawadIbrahim Alkatout

Abstract

This video tutorial identifies key anatomic landmarks useful in identifying the path of the most commonly encountered pelvic nerves in benign gynecologic surgery. This is a narrated overview of commonly encountered pelvic nerves during benign gynecology, their origin, sensory, and motor function, as well as sequelae related to injury. The unintended injury of pelvic neural connections can be a complication of any pelvic surgery, however, surgery for malignancy or endometriosis may increase the likelihood of encountering these nerves. The majority of focus surrounding surgical nerve injury, however, relates to patient positioning [1]. Injury to the pelvic nerves can lead to lifelong sexual, bladder, and defecatory dysfunction [2]. We review the Genitofemoral, Lateral Femoral Cutaneous, Ilioinguinal, Obturator, Superior and Inferior Hypogastric nerves, Pelvic Splanchnic nerves, and the Sacral nerves. Surgical illustrations are used (Fig. 1) alongside real-time narrated video to help viewers recognize the normal course of commonly encountered pelvic nerves at the time of gynecologic surgery (Figs2-3). The surgical management of complex pelvic disease can unfortunately carry significant patient morbidity [3]. The neural pathways tr...Continue Reading

References

Oct 21, 2016·Journal of Minimally Invasive Gynecology·Osama S AbdalmageedTommaso Falcone
Feb 2, 2019·Journal of Minimally Invasive Gynecology·Renato SeracchioliNucelio Lemos

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Citations

Mar 7, 2021·Hormone Molecular Biology and Clinical Investigation·Beth LeopoldGaby N Moawad
Apr 24, 2021·Facts, Views & Vision in ObGyn·G N MoawadS Bendifallah
Jul 21, 2021·Clinical Oncology : a Journal of the Royal College of Radiologists·I RizzutoS Lalondrelle

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