Surgical Anatomy and Dissection of the Hypogastric Plexus in Nerve-Sparing Radical Hysterectomy-Reference-Cited by-同舟云学术

Surgical Anatomy and Dissection of the Hypogastric Plexus in Nerve-Sparing Radical Hysterectomy

Published:2023-12-29 Issue:1 Volume:14 Page:83
ISSN:2075-4418
Container-title:Diagnostics
language:en
Short-container-title:Diagnostics

Author:

Kostov Stoyan¹²^ORCID,Kornovski Yavor²,Yordanov Angel³^ORCID,Watrowski Rafał⁴⁵^ORCID,Slavchev Stanislav²^ORCID,Ivanova Yonka²,Ganev Tosho⁶^ORCID,Yalçın Hakan⁷,Selçuk Ilker⁷^ORCID

Affiliation:

1. Research Institute, Medical University Pleven, 5800 Pleven, Bulgaria

2. Department of Gynecology, Hospital “Saint Anna”, Medical University—“Prof. Dr. Paraskev Stoyanov”, 9002 Varna, Bulgaria

3. Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria

4. Department of Obstetrics and Gynecology, Helios Hospital Müllheim, 79379 Müllheim, Germany

5. Faculty Associate, Medical Center—University of Freiburg, 79106 Freiburg, Germany

6. Department of Urology, Hospital “Saint Anna”, Medical University—“Prof. Dr. Paraskev Stoyanov”, 9002 Varna, Bulgaria

7. Department of Gynecologic Oncology, Ankara Bilkent City Hospital, Maternity Hospital, 06800 Ankara, Turkey

Abstract

Radical hysterectomy is a central surgical procedure in gynecological oncology. A nerve-sparing approach is essential to minimize complications from iatrogenic injury to the pelvic nerves, resulting in postoperative urinary, anorectal, and sexual dysfunction. The hypogastric plexus (HP), a complex network of sympathetic and parasympathetic nerves, plays a critical role in pelvic autonomic innervation. This article offers a comprehensive overview of the surgical anatomy of the HP and provides a step-by-step description of HP dissection, with a particular emphasis on preserving the bladder nerve branches of the inferior HP. A thorough understanding and mastery of the anatomical and surgical nuances of HP dissection are crucial for optimizing outcomes in nerve-sparing gynecologic-oncological procedures.

Publisher

MDPI AG

Subject

Clinical Biochemistry

Link

https://www.mdpi.com/2075-4418/14/1/83/pdf

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