Nerve-preserving aortoiliac reconstruction surgery: Anatomical study and surgical approach

Abstract

The autonomic nerves supplying the bladder neck, the vas deferens, and the prostate are closely related to the abdominal aorta and its bifurcation. Right-sided unilateral disruption of lumbar splanchnic nerves without further damage to nervous structures would ensure at least one functional sympathetic pathway remaining after aortoiliac reconstruction surgery.

New Insights into Autonomic Nerve Preservation in High Ligation of the Inferior Mesenteric Artery in Laparoscopic Surgery for Colorectal Cancer

“…The AAP, SHP, IMP and bilateral L1-L3 LSNs connect with each other like a network around the root of the IMA, but it is clear that the presacral nerve is the downward continuation of the bilateral trunks of SHP and branches into bilateral HGNs below the sacral promontory (Paraskevas et al, 2008;van Schaik et al, 2001). Intraoperative damage of the SHP and HGNs may lead to the postoperative ejaculative and voiding disorders (Maurer, 2005;Liang et al, 2008).…”

Differential Diagnosis in a Patient Referred for Pelvic Floor Tension Myalgia

“…Chronic pelvic pain syndrome likely has multiple causes characterized by pain in the perineum, pelvis, suprapubic area, or the external genitalia. 17 Chronic pelvic pain syndrome had a negative impact on erectile function. The diagnosis of prostatitis has been confirmed as the most common outpatient diagnosis in men younger than 50 years presenting to outpatient urological practices.…”

“…8,9,16 The pelvic floor dysfunction associated with pelvic floor tension myalgia or CPPS in men has been shown to respond well to physical therapy interventions, including biofeedback and relaxation training. 2,4,7,17 The lack of progression in treatment may be a symptom heralding a more serious diagnosis or "red flag" symptom. 7 Pain at night and history of cancer are red flags.…”

“…12 Chronic pelvic pain syndrome/ chronic prostatitis is characterized by pain in the perineum, pelvis, suprapubic area, or the external genitalia. 17 In a study by Marszalek et al, 11 the prevalence of CPPS was 2.7%. The study was done in Vienna and had a cohort of 1765 men ranging in age from 20 to 79 years.…”

The developmental anatomy of the human superior hypogastric plexus: A morphometrical investigation with clinical and surgical correlations

“…The morphological variations of the SHP are important to medical procedures performed in the pelvic region for various disciplines such as proctology (Cosimelli et al, 1994;Yamakoshi et al, 1997), gynecology (Krames, 1999), urology (Donohue and Foster, 1998;Rosenberg et al, 1998;Terrone et al, 2001;Kabalin, 2002), angiology (Ohshiro and Kosaki, 1984;Sabri and Cotton, 1971;van Schaik et al, 2001), orthopedics (Johnson and McGuire, 1981;Macek, 1982;Flynn and Price, 1984;Crofts et al, 1994;Selberg and Lackey, 1994;Tiusanen et al, 1995;Lazennec et al, 1999;Burke, 2001), as well as in videolaparoscopic surgeries (Chen and Soong, 1997;Steege, 1998). In addition, the topographical positioning of the SHP is important in anesthesiology to perform anesthetic blockade of this visceral plexus (Plancarte et al, 1997;Rosenberg et al 1998;Kanazi et al, 1999;Krames, 1999;Aeschbach and Mekhail, 2000;Golianu et al, 2000).…”