Nerve-sparing in Gynecology.

J Minim Invasive Gynecol

Department of Medical and Surgical Gynecology, Mayo Clinic, Phoenix, Arizona (all authors).

Published: March 2021

Objective: To demonstrate identification and dissection of the pelvic autonomic nerves in gynecologic surgery.

Design: Identification on the right and left pelvic pelvises, dissection and preservation of the inferior hypogastric plexus in deep endometriosis, and dissection and preservation of the pelvic autonomic nerves in radical hysterectomy.

Setting: Academic center.

Interventions: Robotic excision of the pelvic peritoneum, excision of deep endometriosis in the uterosacral ligaments, and radical hysterectomy.

Conclusion: Pelvic autonomic nerves are easy to identify with the magnification provided with an endoscopic camera. They should be dissected and preserved whenever possible because of their important function.

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Source
http://dx.doi.org/10.1016/j.jmig.2020.06.029DOI Listing

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