Laparoscopic Surgical Anatomy for Pelvic Floor Surgery

Publication date: Available online 17 November 2018Source: Best Practice & Research Clinical Obstetrics & GynaecologyAuthor(s): Dakalo Arnold Muavha, Lamees Ras, Stephen JefferyAbstractUnderstanding anatomy is one of the pillars in performing safe, effective and efficient surgery but recently it is reported that there has been a decline in teaching anatomy during the preclinical years of medical school. There is also evidence that by the time a medical student becomes a clinician, a considerable proportion of the basic anatomy knowledge is lost. Hence it is crucial for surgeons performing or assisting in pelvic floor surgery to re-visit this integral clinical aspect of pelvic anatomy for performing safe surgery.Pelvic organ prolapse repair, especially abdominal laparoscopic sacrocolpopexy which is the gold standard of pelvic organ prolapse repair, presents a significant challenge to surgeons since the technique requires thorough and meticulous negotiation through abdomino-pelvic vascular structures, nerves supplying the pelvis, rectum and ureters. As critical as it is for a pilot to understand the navigation route for a safe landing, abdominal laparoscopic sacrocolpopexy surgery requires surgeons to have a deep understanding of anatomy to prevent potential life threatening complications. This review is an extensive look and a great reminder to laparoscopic surgeons working in the pelvic cavity especially doing pelvic floor surgery about the anatomical safe routes in performin...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research