“Pelvic neuro-visualization: an anatomical illustration of the autonomic pelvic nervous network in gynecologic surgery”

During radical pelvic surgeries fibers of the autonomic pelvic nervous network can be accidentally damaged leading to significant visceral sequelae, which dramatically affect women's quality of life because of urinary, anorectal, and sexual postoperative dysfunctions.1,2 Direct visualization is one way to preserve hypogastric nerves(HNs), pelvic splanchnic nerves(PSNs), and the bladder branches from the inferior hypogastric plexus(IHP). However, the literature lacks critical photos and/or illustrations that are necessary to understand the precise anatomy needed to preserve the pelvic autonomic fibers.

Source: The Journal of Minimally Invasive Gynecology - April 18, 2024 Category: OBGYN Authors: Antonino DITTO, Stefano FERLA, Fabio MARTINELLI, Giorgio BOGANI, Umberto LEONE ROBERTI MAGGIORE, Francesco RASPAGLIESI Tags: Video Article Source Type: research