We have located links that may give you full text access.
Combined decompression of pudendal and inferior cluneal nerves for entrapment neuralgias using transperitoneal robotic laparoscopy: feasibility and our 4 steps technique.
Journal of Minimally Invasive Gynecology 2024 March 24
OBJECTIVE: To demonstrate the feasibility of a combined decompression of pudendal and inferior cluneal nerves for entrapment syndrome using a transperitoneal robotic laparoscopy.
DESIGN: Demonstration of our 4 steps technique with narrated video footage.
SETTING: Pudendal and inferior cluneal neuralgias caused by an entrapment syndrome are both responsible for perineal pain (1). Although more precise data are lacking, these two neuralgias are frequently associated. Failure of surgical pudendal nerve decompression in the early 2000 has driven to discover the entity of a potential entrapment syndrome of the posterior cutaneous nerve of the tight and its inferior cluneal branches between the ischium bone and the sacrotuberous ligament (2). The corresponding neuralgia is responsible for a neuropathic pain to a more posterior part of the perineum and the thigh, without any neuro-vegetative symptom. In case of failure of medical treatment, surgery can be proposed using an invasive open trans-gluteal approach as a standard treatment (3-5).
INTERVENTIONS: Transperitoneal robotic laparoscopy for a mini-invasive releasing of both pudendal and inferior cluneal nerves, following a 4 steps technique: 1. Opening of the peritoneum between external iliac vessels and umbilical ligament 2. Dissection of the internal iliac and pudendal arteries up to the pudendal nerve 3. Section of sacrospinous ligament and release of pudendal nerve 4. Section of sacrotuberous ligament and release of inferior cluneal nerve.
CONCLUSION: Previously, pudendal and inferior cluneal neuralgias have been managed with an invasive open trans-gluteal surgery. Here, we demonstrate the feasibility of a mini-invasive transperitoneal robotic laparoscopy, with a standardized 4 steps surgical technique.
DESIGN: Demonstration of our 4 steps technique with narrated video footage.
SETTING: Pudendal and inferior cluneal neuralgias caused by an entrapment syndrome are both responsible for perineal pain (1). Although more precise data are lacking, these two neuralgias are frequently associated. Failure of surgical pudendal nerve decompression in the early 2000 has driven to discover the entity of a potential entrapment syndrome of the posterior cutaneous nerve of the tight and its inferior cluneal branches between the ischium bone and the sacrotuberous ligament (2). The corresponding neuralgia is responsible for a neuropathic pain to a more posterior part of the perineum and the thigh, without any neuro-vegetative symptom. In case of failure of medical treatment, surgery can be proposed using an invasive open trans-gluteal approach as a standard treatment (3-5).
INTERVENTIONS: Transperitoneal robotic laparoscopy for a mini-invasive releasing of both pudendal and inferior cluneal nerves, following a 4 steps technique: 1. Opening of the peritoneum between external iliac vessels and umbilical ligament 2. Dissection of the internal iliac and pudendal arteries up to the pudendal nerve 3. Section of sacrospinous ligament and release of pudendal nerve 4. Section of sacrotuberous ligament and release of inferior cluneal nerve.
CONCLUSION: Previously, pudendal and inferior cluneal neuralgias have been managed with an invasive open trans-gluteal surgery. Here, we demonstrate the feasibility of a mini-invasive transperitoneal robotic laparoscopy, with a standardized 4 steps surgical technique.
Full text links
Related Resources
Trending Papers
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Prevention and treatment of ischaemic and haemorrhagic stroke in people with diabetes mellitus: a focus on glucose control and comorbidities.Diabetologia 2024 April 17
British Society for Rheumatology guideline on management of adult and juvenile onset Sjögren disease.Rheumatology 2024 April 17
Diagnosis and Management of Cardiac Sarcoidosis: A Scientific Statement From the American Heart Association.Circulation 2024 April 19
Albumin: a comprehensive review and practical guideline for clinical use.European Journal of Clinical Pharmacology 2024 April 13
Eosinophilic Esophagitis: Clinical Pearls for Primary Care Providers and Gastroenterologists.Mayo Clinic Proceedings 2024 April
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app