Kale Ahmet, Basol Gulfem, Topcu Ahmet C, Gundogdu Elif C, Usta Taner, Demirhan Recep
Department of Obstetrics and Gynecology, University of Health Science Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey.
Department of Cardiovascular Surgery, University of Health Science Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Turkey.
Int Neurourol J. 2021 Jun;25(2):177-180. doi: 10.5213/inj.2040232.116. Epub 2021 Jan 19.
Entrapment neuropathy of the sciatic nerve and pudendal nerve are painful syndromes that are often overlooked by physicians. Laparoscopic surgical interventions for nerve entrapment syndromes of the posterior pelvis focus on removing the compression lesion with the purpose of eliminating the suspected cause of sciatica, as well as pudendal neuralgia. Herein, the authors report the rare event of sciatic and pudendal nerve entrapment, which was caused by aberrant vessels and a variant piriformis muscle bundle, as a seldom-diagnosed cause of sciatica and pelvic pain, for both neurosurgeons and neuropelveologists. The authors present the laparoscopic decompression technique for the pudendal and sciatic nerves by giving our technical "tips and tricks" enriched by a surgical video.
坐骨神经和阴部神经卡压性神经病是常被医生忽视的疼痛综合征。腹腔镜手术治疗后盆腔神经卡压综合征的重点是切除压迫性病变，以消除坐骨神经痛和阴部神经痛的可疑病因。在此，作者报告了由异常血管和梨状肌变异束引起的坐骨神经和阴部神经罕见卡压事件，这是神经外科医生和神经盆腔病医生很少诊断出的坐骨神经痛和盆腔疼痛的病因。作者通过提供包含手术视频的技术“小贴士和技巧”，介绍了阴部神经和坐骨神经的腹腔镜减压技术。
