Laparoscopic Neurolysis of the Sacral Plexus and the Sciatic Nerve for Extensive Endometriosis of the Pelvic Wall
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This study reports the feasibility of laparoscopic neurolysis of the sacral plexus and sciatic nerve for endometriosis of the pelvic wall in 21 patients.
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Abstract
BACKGROUND: The aim of this study is to report on the feasibility of laparoscopic neurolysis of the plexus sacralis and the sciatic nerve in deep endometriotic infiltration of the lateral pelvic wall. METHODS: A transperitoneal approach to the pelvic nerves combined with the LANN technique for intraoperative assessment of the function of the exposed nerves permit exposure and sparing of all somatic nerves during resection of the endometriotic lesion. RESULTS: We report on our short experience with 21 patients who underwent this technique for the treatment of endometriotic infiltration of the sacral plexus at different levels. CONCLUSION: In young patients with chronic unilateral sciatica or unilateral pudendal neuralgia - Alcock's canal syndrome - where no neurological/orthopedic etiologies have been found, endometriotic infiltration of the lateral pelvic wall has to be implicated as a potential etiology and an indication for laparoscopy must be discussed. Laparoscopic neurolysis of the pelvic somatic nerves is a feasible procedure for trained laparoscopic surgeons who have a good knowledge of the retroperitoneal pelvic (neuro)anatomy.
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- Comparison of Isolated Sciatic Nerve and Sacral Nerve Root Endometriosis: A Review of the Literature 2022
- Deep infiltrating endometriosis with sacral plexus involvement: Improving knowledge through human cadaver dissection 2021
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- Endometriosis con infiltración aislada del nervio ciático, una forma de presentación atípica. Reporte de un caso clínico 2021
- Postoperative Outcomes after Surgery for Deep Endometriosis of the Sacral Plexus and Sciatic Nerve: A 52-patient Consecutive Series 2020
- Sciatic endometriosis: A narrative review of an unusual neurogynecologic condition 2020
- Postoperative outcomes following surgery for deep endometriosis of the sacral plexus and sciatic nerve: a 52-patient consecutive series 2020
- Removal of an endometrioma passing through the left greater sciatic foramen using a concomitant laparoscopic and transgluteal approach: case report 2019
- Extrapelvic Sciatic Nerve Endometriosis, the Role of Magnetic Resonance Imaging: Case Report and Systematic Review 2019
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- Fractalkine/CX3CR1 Contributes to Endometriosis-Induced Neuropathic Pain and Mechanical Hypersensitivity in Rats 2018
- Laparoscopic Neuronavigation for Deep Lateral Pelvic Endometriosis: Clinical and Surgical Implications 2018
- Endometriosis Involving the Sciatic Nerve: A Case Report of Isolated Endometriosis of the Sciatic Nerve and Review of the Literature 2018
- Five-Year Follow-Up After Laparoscopic Large Nerve Resection for Deep Infiltrating Sciatic Nerve Endometriosis 2017
- Sequential imaging of intraneural sciatic nerve endometriosis provides insight into symptoms of cyclical sciatica 2016
- Neural involvement in endometriosis: Review of anatomic distribution and mechanisms 2015
- Sciatic endometriosis induces mechanical hypersensitivity, segmental nerve damage, and robust local inflammation in rats 2015
- Prevalence and severity of cyclic leg pain in women with endometriosis and in controls – effect of laparoscopic surgery 2014
- Cyclic Sciatica Due to Endometriosis of the Sciatic Nerve: Neurolysis with Combined Laparoscopic and Transgluteal Approaches 2014
- Neuro-anatomy of the posterior parametrium and surgical considerations for a nerve-sparing approach in radical pelvic surgery 2013
- Pain in the upper anterior-lateral part of the thigh in women affected by endometriosis: study of sensitive neuropathy 2013
- Nerve-sparing laparoscopic eradication of deep endometriosis with segmental rectal and parametrial resection: the Negrar method. A single-center, prospective, clinical trial 2012
- Follow-up of dysfunctional bladder and rectum after surgery of a deep infiltrating rectovaginal endometriosis 2011
- Laparoscopic Therapy of Endometriosis and Vascular Entrapment of Sacral Plexus 2011
- Laparoscopic nerve-sparing surgery of deep infiltrating endometriosis: description of the technique and patients’ outcome 2010
- Deep rectal and parametrial infiltrating endometriosis with monolateral pudendal nerve involvement: case report and laparoscopic nerve-sparing approach 2010
- Cyclic sciatica from extrapelvic endometriosis affecting the sciatic nerve 2010
- Laparoscopic nerve-sparing transperitoneal approach for endometriosis infiltrating the pelvic wall and somatic nerves: anatomical considerations and surgical technique 2010
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- Comparative Study of the Neuropeptide-Y Sympathetic Nerves in Endometriotic Involved and Noninvolved Sacrouterine Ligaments in Women with Pelvic Endometriosis 2009
- Outlet constipation syndrome caused by elongation of the rectosigmoide as a frequent etiology for pelveo-abdominal pain and intestinal troubles in women with endometriosis 2009
- Endométriose de la fosse ischiorectale au contact du nerf sciatique : à propos d’un cas de neurolyse par voie pararectale 2009
- Laparoscopic Management of Endopelvic Etiologies of Pudendal Pain in 134 Consecutive Patients 2009
- Laparoscopic management of neural pelvic pain in women secondary to pelvic surgery 2008
- Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients 2007
- Anatomy of the Sacral Roots and the Pelvic Splanchnic Nerves in Women Using the LANN Technique 2007
- Laparoscopic management of pudendal pain different endopelvic etiologies in 134 consecutive patients 2007
- The Laparoscopic Approach to Control Intractable Pelvic Neuralgia: From Laparoscopic Pelvic Neurosurgery to the LION Procedure 2007
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