New surgical evolutions in management of sacral radiculopathies.
نویسنده
چکیده
Neurophysiological investigations and neurosurgical procedures of the sacral plexus are not especially well developed, because the sacral plexus is difficult to access. Awareness that sacral radiculopathies may exist is still lacking and the incidence of these pathologies is widely underestimated. Since the recent introduction of laparoscopy in the field of pelvic nerves, the situation has changed considerably: laparoscopy not only permits a precise morphological and functional exploration of the entire sacral plexus, but also offers new therapeutic options: In lesions to the sacral nerve roots by compression, infiltration, or surgical damages, the laparoscopy offers an adequate access for micro-neurosurgical procedures; whereas in neurogenic pathologies or situations of failure of neurosurgical treatments, the technique of laparoscopic implantation of a neuroprosthesis - the LION procedure - permits the neuromodulation of all sacral nerve roots in different combination with only one electrode for simultaneous control of pelvic/lower limb pain and pelvic visceral dysfunctions. Regarding the dramatically increased incidence of sacral radiculopathies, especially secondary to pelvic prolaps surgeries by blind mesh-material implantation, this field of pathologies has to come in the focus of medical interests. Also, physicians involved in pelvic pathologies/surgeries have to be trained in clinical neuropelveology.
منابع مشابه
Laparoscopic therapy for endometriosis and vascular entrapment of sacral plexus.
OBJECTIVE To report our experience with endopelvic causes for sacral radiculopathies and sciatica. DESIGN Prospective cohort study. SETTING Tertiary referral advanced laparoscopic gynecology and neuropelveologic unit. PATIENT(S) Two hundred thirteen women who underwent laparoscopic management of sacral radiculopathy (sciatica, pudendal, gluteal pain) of unknown genesis in the period betwe...
متن کامل“ Sacral radiculopathies ” by “ Pelvic Compartment Syndrome ” - a unknown cause for unexplained intractable “ neuropathic chronic pelvic pain ”
متن کامل
Fetus in Fetus in the Sacral Sac: Report of Surgical Management Case
Background: Fetus-In-Fetu (FIF) is a rare congenital malformation, which consists of a fetus mixed with a distinct tissue that is from the other fetus of twin. FIF is defined as a mass containing a vertebral axis often associated with other organs or limbs around this central axis.Case report: The patient was a two day old girl infant who due to a mass in a sacrum area measuring 8.5 x 12.5 cm w...
متن کاملLaparoscopic management of “pudendal pain” different endopelvic etiologies in 134 consecutive patients
Objective: To demonstrate the feasability of the laparoscopic transperitoneal approach to the pelvic somatetic 10 nerves for the diagnosis and treatment of ano-genital pain caused by pudendal and/or sacral nerve roots lesions. Method: In a retrospective review, 134 consecutive patients underwent laparoscopy for refractory ano-genital pain. All neurosurgical procedures such as neurolysis/decompr...
متن کاملVoiding Dysfunction Associated with Pudendal Nerve Entrapment
Pudendal nerve entrapment (Alcock canal syndrome) is an uncommon source of chronic pelvic pain, in which the pudendal nerve is entrapped or compressed. Pain is located in the perineal, genital and perianal areas and is worsened by sitting. By simple entrapment of the PN without neurogenic damages, pain is usually isolated. In neurogenic damages to the PN, genito-anal numbness, fecal and/or urin...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Surgical technology international
دوره 19 شماره
صفحات -
تاریخ انتشار 2010