Neurological Outcome Following Resection of Benign Presacral Neurogenic Tumors Using a Nerve-Sparing Technique

Hébert-Blouin, Marie Noëlle; Sullivan, Patrick S.; Merchea, Amit; Léonard, Daniel; Spinner, Robert J.; Dozois, Eric J.

doi:10.1097/dcr.0b013e31829e4e4f

Cited by 13 publications

(3 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A nerve‐sparing technique should be used for benign tumours because it preserves postoperative urogenital, anorectal and lower‐extremity neurological function . While local recurrence of benign tumours can occur with incomplete excision, Pongsthorn et al .…”

Section: Resultsmentioning

confidence: 99%

Management approach and surgical strategies for retrorectal tumours: a systematic review

Toh

Morgan

2016

Colorectal Disease

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Management approach and surgical strategies for retrorectal tumours: a systematic review

Toh

Morgan

2016

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…Despite of the rough perioperative course, the intraoperative surgical planning was challenging. Pelvic neurogenic tumors had a high local recurrence rate and an aggressive approach, by an experienced multidisciplinary team who can achieve tumor-free resections, should improve outcome [5, 6].…”

Section: Discussionmentioning

confidence: 99%

A black esophagus as a result of treatment of inferior vena cava occlusion by a massive pelvic schwannoma

AlJamal

Billings

Dozios

2019

Journal of Surgical Case Reports

View full text Add to dashboard Cite

This case presentation involves a 57-year-old-male who suffered multiple adverse sequels from the delayed diagnosis of a large presacral mass. He initially presented with lower extremity deep vein thrombosis (DVT). Several months later, he had developed a pulmonary embolus. Imaging demonstrated a 13 × 14 cm presacral pelvic mass that occluded the right-sided venous return from the leg and caused the DVT and pulmonary embolism. An inferior vena cava filter was placed and eventually clotted. He then was referred to our institution for surgical consultation. The patient received lytic therapy and unfortunately developed hematemesis and a significant hemoglobin drop. An esophagogastroduodenoscopy (EGD) showed a black esophagus. A transthoracic echocardiogram showed a patent foramen ovale. The patient eventually stabilized and a repeat EGD a week later showed resolution of the ischemic esophagus. The patient later underwent a resection of the pelvic mass. The surgical approach and the surgical decision-making will be discussed.

show abstract

“…Therefore, it affects the nearby organs slowly in the large pelvic cavity. For that reason, presacral schwannoma can grow to an enormous size and frequently diagnosed at a progressed stage 5 , 19) . Not a few authors argued that the treatment of choice for tumors is complete surgical excision 1 , 3 , 10 , 12 , 19) .…”

Section: Introductionmentioning

confidence: 99%

Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report

et al. 2017

View full text Add to dashboard Cite

The neurogenic tumor of frequent occurrence in the presacral area is a schwannoma. Giant presacral schwannoma has a risk for anterior surgical approach because of its massive size and proximity to abundant vascularity of presacral region. We report a single stage posterior approach for total resection of a giant presacral schwannoma. A 40-year-old female patient experienced left buttock pain and tingling sensation at left S1 dermatome. Magnetic resonance imaging showed that the presacral huge mass at S1–3 level with osseous extension and structural remodeling in left sacral ala. The presacral mass was ranging in maximum diameter from 8.0 to 8.6 cm. S2 foramen laminectomy was performed to expose the mass. The tumor capsule and the root were carefully dissected away. The tumor was removed while preserving the capsule by dissecting the plane between the inner wall of the capsule and the tumor. The single stage posterior approach for presacral giant schwannoma is feasible, and it can be a good surgical alternative to prevent pelvic organ or vascular damage and anterior approach related dystocia and infertility.

show abstract

Neurological Outcome Following Resection of Benign Presacral Neurogenic Tumors Using a Nerve-Sparing Technique

Abstract: With the use of a nerve-sparing technique, function-preserving resection can be safely completed with an overall improvement in symptoms.

Cited by 13 publications

References 19 publications

Management approach and surgical strategies for retrorectal tumours: a systematic review

Management approach and surgical strategies for retrorectal tumours: a systematic review

A black esophagus as a result of treatment of inferior vena cava occlusion by a massive pelvic schwannoma

Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report

Contact Info

Product

Resources

About