Macrì Antonio, Badessi Giorgio, Mazzeo Carmelo, Galati Marica, Cucinotta Eugenio, Rizzo Vincenzo
Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Messina, Italy.
Department of Human Pathology in Adulthood and Childhood G. Barresi, University of Messina, Messina, Italy.
Pleura Peritoneum. 2020 Aug 25;5(3):20200132. doi: 10.1515/pp-2020-0132. eCollection 2020 Sep.
Pelvic peritonectomy can induce anorectal and urogenital dysfunctions. To reduce this type of complications during the procedure, we propose to use intraoperative neuromonitoring (IONM).
Stimulation with a bipolar probe allows the identification of the obturator and ilioinguinal and pudendal nerves. At the end of the cytoreductive surgery, the motor and somatosensory evoked potentials must be evaluated to confirm the preservation of pelvic innervation.
The use of IONM during pelvic peritonectomy is technically feasible, and it can help to preserve pelvic nerves.
Obviously, its definitive value remains to be elucidated.
盆腔腹膜切除术可导致肛门直肠和泌尿生殖功能障碍。为减少手术过程中的此类并发症，我们建议使用术中神经监测（IONM）。
使用双极探头进行刺激可识别闭孔神经、髂腹股沟神经和阴部神经。在肿瘤细胞减灭术后，必须评估运动和体感诱发电位，以确认盆腔神经功能得以保留。
在盆腔腹膜切除术中使用IONM在技术上是可行的，并且有助于保留盆腔神经。
显然，其确切价值仍有待阐明。
