Department of Obstetrics and Gynecology, Francois Quesnay Hospital, Mantes-la-Jolie, France (Dr. Habib).
Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy (Drs. Labanca and Centini).
J Minim Invasive Gynecol. 2021 Jul;28(7):1280-1281. doi: 10.1016/j.jmig.2020.07.015. Epub 2020 Jul 28.
To demonstrate the safety and feasibility of the laparoscopic approach to perform pudendal neurolysis in a case of pudendal nerve entrapment syndrome [1-3].
A video tutorial that highlights the laparoscopic steps to performing pudendal neurolysis, with a focus on the main anatomic landmarks [4,5].
A tertiary care regional hospital.
This video shows a 6-step approach to laparoscopic pudendal neurolysis for the treatment of pudendal nerve entrapment between the sacrospinous and sacrotuberous ligaments [2,6-8]. Step 1: Identification of the umbilical artery. Step 2: Dissection and development of the lateral paravesical space until the pelvic floor. Step 3: Identification of the arcus tendineus of the endopelvic fascia. Step 4: Identification of the ischial spine and the sacrospinous ligament covered by the coccygeus muscle. Step 5: Coagulation and section of the coccygeus muscle and the sacrospinous ligament. Step 6: Medialization of the pudendal nerve until its entrance into the Alcock canal.
This video demonstrates the safety, feasibility, and reproducibility of laparoscopic pudendal neurolysis in 6 steps. A minimally invasive approach is adequate to treat the pudendal compression until the Alcock canal [2].
展示腹腔镜入路治疗阴部神经卡压综合征时行阴部神经松解术的安全性和可行性[1-3]。
突出展示行阴部神经松解术的腹腔镜步骤的视频教程，重点关注主要解剖标志[4,5]。
三级区域医院。
本视频展示了 6 步腹腔镜阴部神经松解术治疗骶棘韧带和骶结节韧带之间阴部神经卡压的方法[2,6-8]。步骤 1：识别脐动脉。步骤 2：解剖和发展侧旁矢状间隙，直至盆底。步骤 3：识别盆内筋膜的腱弓。步骤 4：识别坐骨棘和被尾骨肌覆盖的骶棘韧带。步骤 5：电凝和切断尾骨肌和骶棘韧带。步骤 6：阴部神经的内侧化，直至其进入阿尔科克管。
本视频展示了 6 步腹腔镜阴部神经松解术的安全性、可行性和可重复性。微创方法足以治疗阴部神经受压，直至阿尔科克管[2]。
