Background: The presacral space is a clinically relevant potential space and contents may give rise to a variety of benign and malignant conditions, hence the need for detailed knowledge of its dimensions.
Purpose: To determine the width of the presacral space and existing variations among adults in south-western Nigeria using a magnetic resonance imaging (MRI) technique.
Material And Methods: A total of 369 consenting adults were included in the study. Measurements of the presacral space were then made electronically by consensus of two radiologists. Values derived were recorded and subjected to analyses of variance.
Results: The mean normal widths of the presacral space in men and women were 11.7 mm and 11.1 mm at the S1 level, 11.7 mm and 10.35 mm at the S2 level, and 12.3 mm and 9.7 mm at the S3 level, respectively. Measurements of the presacral space width were significantly larger in the male population. Variations in the dimensions due to age greater than 40 years, male sex, and increasing body mass index (BMI) were also noted.
Conclusion: This study provides baseline dimensions under more physiological conditions and gives more accurate information about the true width of the space in Nigerian adults. Variations due to age, sex, and BMI may also be considered while interpreting abnormal values.
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http://dx.doi.org/10.1177/02841851231216042 | DOI Listing |
Zhonghua Zhong Liu Za Zhi
December 2024
J Minim Invasive Gynecol
October 2024
From the Department of Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China (all authors). Electronic address:
Objective: The number of sacrocolpopexies performed with transvaginal natural orifice transluminal endoscopic surgery (vNOTES) is increasing, and presacral fixation is the most dangerous step. Therefore, the training opportunities for trainees to become competent in performing vNOTES sacrocolpopexy are very important. Simulation-based training is ideal for filling this gap.
View Article and Find Full Text PDFUrogynecology (Phila)
October 2024
From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Atrium Health, Charlotte, NC.
Importance: Proper training is necessary to develop the highly specialized skills required to safely perform laparoscopic sacrocolpopexy. Currently, there is no validated training model for laparoscopic sacrocolpopexy that includes dissection of the presacral space, both vaginal and presacral mesh attachments, and peritoneal closure.
Objectives: This study aimed to create a procedure specific hierarchical task analysis for laparoscopic sacrocolpopexy and then develop and validate a corresponding laparoscopic sacrocolpopexy pelvic training model for the simulation environment.
Int J Surg Case Rep
September 2024
Department of Medical Sciences and Public Health, University of Cagliari, SS 554, km 4,500, 09042 Monserrato, Italy. Electronic address:
Introduction and importance: Large retroperitoneal schwannomas are rare and present significant challenges in surgical management, particularly when located in the pelvic region. Gynecologists can encounter rare problems when a pelvic schwannoma is mistaken for an adnexal pathology. Case Presentation: A 62-year-old woman presented with a giant retroperitoneal mass suspected of a potentially malignant ovarian tumor preoperatively.
View Article and Find Full Text PDFInt J Gynecol Cancer
October 2024
Department of Gynecologic Oncology, A.C.Camargo Cancer Center, São Paulo, Brazil
Background: Isolated positive para-aortic lymph node metastasis in endometrial cancer is an uncommon event, ranging from 1% to 3%.
Objective: Our aim was to evaluate the impact of sentinel lymph node (SLN) mapping on the risk of isolated positive para-aortic lymph node metastasis.
Methods: We retrospectively evaluated a series of 426 patients who underwent SLN mapping with at least one SLN detected from January 2013 to December 2021 (SLN group) compared with a historical series of 209 cases who underwent a systematic pelvic and para-aortic lymphadenectomy between June 2007 and April 2015 (LND group).
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