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Laparoscopic Dissection and Anatomy of Sacral Nerve Roots and Pelvic Splanchnic Nerves by Alysson Zanatta; Mateus M. Rosin; Ricardo L. Machado; Leonardo Cava; Marc Possover is a Medicine article available to read on EtoBox.

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## Study objective: To demonstrate the technique of laparoscopic dissection for identification of sacral nerve roots and pelvic splanchnic nerves. ## Design: Case report (canadian task force classification iii). ## Setting: Private practice hospital in são paulo, brazil. ## Patient: A 31-year-old woman with suspected iatrogenic and/or compression of sacral nerve roots. she reported debilitating pelvic, gluteal, and perineal unilateral left-sided pain (score 8 on a pain scale of 0-10), and had primary infertility with 1 previous failed attempt at in vitro fertilization. surgical history included laparoscopic excision of endometriosis 10 months before the procedure and left oophoroplasty during adolescence because of a benign neoplasm. ## Interventions: Standard 4-puncture laparoscopy was performed. the peritoneum of the left pelvic sidewall was resected to preclude eventual residual endometriosis. this also enabled identification of uterine vessels including the deep uterine vein, which is the limit between the pars vascularis superiorly and the pars nervosa inferiorly in the uterine broad ligament. surgery was using the laparoscopic neuro-navigation (lann) technique, previously des

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Author

Alysson Zanatta; Mateus M. Rosin; Ricardo L. Machado; Leonardo Cava; Marc Possover

Publisher

Elsevier BV

Published

2014

Language

EN

Field

Medicine (Health Sciences)