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妇科神经保护

Nerve-sparing in Gynecology.

机构信息

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

Department of Medical and Surgical Gynecology, Mayo Clinic, Phoenix, Arizona (all authors); Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, China (Dr. Yang).

出版信息

J Minim Invasive Gynecol. 2021 Mar;28(3):387. doi: 10.1016/j.jmig.2020.06.029. Epub 2020 Jul 14.

DOI:10.1016/j.jmig.2020.06.029
PMID:32673647
Abstract

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.

摘要

目的

展示在妇科手术中识别和解剖骨盆自主神经。

设计

在右侧和左侧骨盆上进行识别,在深部子宫内膜异位症中对下腹下丛进行解剖和保留,在根治性子宫切除术时对骨盆自主神经进行解剖和保留。

环境

学术中心。

干预措施

机器人切除骨盆腹膜,切除子宫骶韧带深部的子宫内膜异位症,以及根治性子宫切除术。

结论

使用内窥镜摄像头提供的放大功能,很容易识别骨盆自主神经。由于它们具有重要的功能,因此应尽可能进行解剖和保留。

相似文献

1
Nerve-sparing in Gynecology.妇科神经保护
J Minim Invasive Gynecol. 2021 Mar;28(3):387. doi: 10.1016/j.jmig.2020.06.029. Epub 2020 Jul 14.
2
Nerve-sparing Surgery for Deep Infiltrating Endometriosis: Laparoscopic Eradication of Deep Infiltrating Endometriosis with Rectal and Parametrial Resection According to the Negrar Method.神经保护手术治疗深部浸润性子宫内膜异位症:根据内格雷尔方法行腹腔镜直肠和子宫旁切除术根除深部浸润性子宫内膜异位症。
J Minim Invasive Gynecol. 2020 Feb;27(2):263-264. doi: 10.1016/j.jmig.2019.09.002. Epub 2019 Sep 10.
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Fertility- and Nerve-sparing Laparoscopic Eradication of Deep Endometriosis with Total Posterior Compartment Peritonectomy: The Kurashiki Method.《库拉希基法:保留生育力和神经的腹腔镜深部子宫内膜异位症全面后间隔腹膜切除术》。
J Minim Invasive Gynecol. 2021 Feb;28(2):170-171. doi: 10.1016/j.jmig.2020.05.028. Epub 2020 Jun 8.
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Keep Your Landmarks Close and the Hypogastric Nerve Closer: An Approach to Nerve-sparing Endometriosis Surgery.保持地标接近,保持下腹神经更接近:一种神经保护子宫内膜异位症手术方法。
J Minim Invasive Gynecol. 2020 May-Jun;27(4):813-814. doi: 10.1016/j.jmig.2019.08.001. Epub 2019 Aug 3.
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Laparoscopic anatomy of the autonomic nerves of the pelvis and the concept of nerve-sparing surgery by direct visualization of autonomic nerve bundles.盆腔自主神经的腹腔镜解剖及通过直接可视化自主神经束进行保留神经手术的概念
Fertil Steril. 2015 Nov;104(5):e11-2. doi: 10.1016/j.fertnstert.2015.07.1138. Epub 2015 Aug 8.
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[Anatomical consideration for the technique of nerve-sparing during radical hysterectomy for cervical cancer].[宫颈癌根治术中保留神经技术的解剖学考量]
Gynecol Obstet Fertil. 2016 Sep;44(9):517-25. doi: 10.1016/j.gyobfe.2016.07.009. Epub 2016 Aug 24.
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Nerve-Sparing Technique during Laparoscopic Radical Hysterectomy: Critical Steps.腹腔镜根治性子宫切除术时的保留神经技术:关键步骤。
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Anatomical basis for nerve-sparing radical hysterectomy: immunohistochemical study of the pelvic autonomic nerves.保留神经的根治性子宫切除术的解剖学基础:盆腔自主神经的免疫组织化学研究
Acta Obstet Gynecol Scand. 2005 Sep;84(9):868-74. doi: 10.1111/j.0001-6349.2005.00742.x.
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[Deep infiltrating endometriosis surgical management and pelvic nerves injury].[深部浸润型子宫内膜异位症的手术治疗与盆腔神经损伤]
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Laparoscopic Nerve-Preserving Sacropexy.腹腔镜保留神经的骶骨固定术
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Urologic Complication after Laparoscopic Hysterectomy in Gynecology Oncology: A Single-Center Analysis and Narrative Review of the Literature.妇科肿瘤腹腔镜子宫切除术后的泌尿系统并发症:单中心分析及文献回顾。
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Anatomy of the lower hypogastric plexus applied to endometriosis: a narrative review.
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