Anatomy of the sacral roots and the pelvic splanchnic nerves in women using the LANN technique

Vito Chiantera, Jan Baekelandt, Vito Chiantera, Marc Possover

Research output: Contribution to journalArticlepeer-review

35 Citations (Scopus)

Abstract

AIMS: To report on our anatomic and electrophysiologic findings about the sacral nerve roots and the pelvic splanchnic nerves during laparoscopic pelvic surgery. METHODS: The pelvic splanchnic nerves and the sacral nerve roots were dissected in 336 consecutive patients undergoing laparoscopy for pelvic pain syndrome or gynecologic diseases. Intraoperative assessment of the functionality of the exposed nerves was performed using the LAparoscopic Neuro-Navigation (LANN) technique. RESULTS: Dissection of the sacral roots and the splanchnic pelvic nerves lateral to the sacral hypogastric fascia was feasible without any complications in all patients in this series. The mean surgical time was 16 minutes per side. The pelvic splanchnic nerves could be divided anatomically and functionally into vesical and rectal nerve fibers. CONCLUSIONS: Laparoscopy in combination with the LANN technique not only permits an intraoperative functional mapping of the pelvic motoric autonomous nerves but also a differentiation between the vesical and rectal nerves and between the efferent and afferent pelvic nerves. © 2007 Lippincott Williams & Wilkins, Inc.
Original languageEnglish
Pages (from-to)508-510
Number of pages3
JournalSURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
Volume17
Publication statusPublished - 2007

All Science Journal Classification (ASJC) codes

  • Surgery

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