Extended anterolateral transiliac approach to the sacral plexus

Dujardin, F.; Mouton, Jordane; Tobenas-Dujardin, A.C.; Hue, Antoine-Guy; Duparc, Fabrice; Ould-Slimane, Mourad; Gauthé, Rémi

doi:10.1016/j.otsr.2020.04.011

Cited by 1 publication

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Successful outcomes from the repair of open injuries to the lumbar nerves have been reported. 12 Surgical approaches to the lumbar plexus can be archived among others through a lateral retroperitoneal approach, 13 an extended anterolateral trans iliac approach to the sacral plexus after an osteotomy 14 or laparoscopic approach. 15 The pararectus approach has several advantages for this indication compared with a lateral retro-peritoneal approach or approaches through the lower abdomen and peritoneum.…”

Section: Discussionmentioning

confidence: 99%

“…11 Neurogenic pain improved over time; however, paresis and disturbed gait pattern persisted at the 1-year follow-up (Table 2). approach, 13 an extended anterolateral trans iliac approach to the sacral plexus after an osteotomy 14 or laparoscopic approach. 15 The pararectus approach has several advantages for this indication compared with a lateral retro-peritoneal approach or approaches through the lower abdomen and peritoneum.…”

Section: Casementioning

confidence: 99%

See 1 more Smart Citation

Exposure of the Lumbosacral Plexus by Using the Pararectus Approach: A Technical Note

Häckel

Christen

Vögelin

et al. 2022

Operative Neurosurgery

View full text Add to dashboard Cite

Surgical exploration of the lumbosacral plexus is challenging. Previously described approaches reach from invasive open techniques with osteotomy of the ilium to laparoscopic techniques. OBJECTIVE: To describe a novel surgical technique to explore lumbosacral plexopathies such as benign nerve tumors or iatrogenic lesions of the lumbosacral plexus in 4 case examples. METHODS: We retrospectively evaluated 4 patients suffering from pathologies or injuries of the lumbosacral plexus between 2017 and 2019. The mean follow-up period after surgery was 23.5 (range 11-52) months. All patients underwent neurolysis of the lumbosacral plexus using the single incision, intrapelvic, extraperitoneal pararectus approach. RESULTS: In all patients, the pathology of the lumbosacral plexus was successfully visualized, proving feasibility of the extraperitoneal pararectus approach for this indication. There were no major complications, and all patients recovered well. CONCLUSION: The pararectus approach allows excellent visualization of the lumbar plexus and intrapelvic lesions of the femoral and sciatic nerves.

show abstract