ArticleSurgical and radiologic anatomy : SRA2011
Female pelvic autonomic neuroanatomy based on conventional macroscopic and computer-assisted anatomic dissections.
Article in Surgical and radiologic anatomy : SRA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A step towards stereotactic navigation during pelvic surgery: 3D nerve topography.Surgical endoscopy · 2018Pooled it
- Immunohistochemical localization of nerve fibers in the pseudocapsule of fibroids.European journal of histochemistry : EJH · 2014Trial
- Autonomic Plexuses of the Female Sexual Organs Travel Within Pubocervical and Rectovaginal [Endopelvic] Fascia: A Rationale for 'Nerve-Aware' Vaginal Prolapse Repair.Clinical anatomy (New York, N.Y.) · 2026Article
- Somatic and autonomic nerve density and distribution within the clitoris: an immunohistochemical study in adult female cadavers.International urogynecology journal · 2024Article
- Advanced Insights into Human Uterine Innervation: Implications for Endometriosis and Pelvic Pain.Journal of clinical medicine · 2024Review
- Somatic and autonomic nerve density of the urethra, periurethral tissue, and anterior vaginal wall: an immunohistochemical study in adult female cadavers.International urogynecology journal · 2023Article
- Review: Pelvic nerves - from anatomy and physiology to clinical applications.Translational neuroscience · 2021Review
- Daily medical education for confined students during coronavirus disease 2019 pandemic: A simple videoconference solution.Clinical anatomy (New York, N.Y.) · 2020Article
- The 3D reconstructions of female pelvic autonomic nerves and their related organs based on MRI: a first step towards neuronavigation during nerve-sparing radical hysterectomy.European radiology · 2018Article
- Three-dimensional computer-assisted dissection of pancreatic lymphatic anatomy on human fetuses: a step toward automatic image alignment.Surgical and radiologic anatomy : SRA · 2018Article
- Concepts of the rectovaginal septum: implications for function and surgery.International urogynecology journal · 2016Review
- Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy.Surgical and radiologic anatomy : SRA · 2015Article
- Radiological anatomical study of the origin of the uterine artery.Surgical and radiologic anatomy : SRA · 2014Article
- Preservation of genital innervation in women during total mesorectal excision: which anterior plane?World journal of surgery · 2012Article
- Autonomic-somatic communications in the human pelvis: computer-assisted anatomic dissection in male and female fetuses.Journal of anatomy · 2011Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo confront nerve dissection, tissue staining, nerve immunolabelling and Computer-Assisted Anatomic Dissection (CAAD) in identifying the precise location and origin of intrapelvic autonomic nerve fibers and to provide a three-dimensional (3D) representation of their relationship to other anatomical structures.
methodsSerial transverse sections of the pelvic portion of five human female fetuses (18-31 weeks of gestation) were studied histologically (with hematoxylin/eosin and Masson trichrome) and immunohistochemically (anti-protein S100 antibody) digitized and reconstructed three-dimensionally with Surf driver software for Windows (Winsurf 4.3). Three fresh female adult cadavers were macroscopically dissected to individualize the inferior hypogastric plexus afferences and efferences and their anatomical relationships.
resultsThis combined investigation including the CAAD technique allowed identifying the precise location and distribution of the pelvic nerve elements and their relationships to female pelvic organs. Hypogastric nerves (HN) were located in the retrorectal multilaminar structure and joined the homolateral inferior hypogastric plexus (IHP) at the lateral border of the recto-uterine pouch. The intersection of the ureter with the posterior wall of the uterine artery precisely located the junction of HN and IHP. Antero-inferior branches supplying female sexual and continence organs originated from the antero-inferior angle of IHP and were bundled at the posterolateral vaginal wall.
conclusionsCAAD is an encouraging anatomical method for the development of anatomical and surgical research and teaching. Complementary to traditional anatomical studies, it may provide useful anatomical data for the comprehension of postoperative sexual and urinary dysfunction and the development of nerve-sparing surgical techniques.
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