ArticleSurgical and radiologic anatomy : SRA2015
Anatomical basis of female pelvic cavity for nerve sparing radical hysterectomy.
Article in Surgical and radiologic anatomy : SRA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- A step towards stereotactic navigation during pelvic surgery: 3D nerve topography.Surgical endoscopy · 2018Pooled it
- Identification and injury to the inferior hypogastric plexus in nerve-sparing radical hysterectomy.Scientific reports · 2019Trial
- Dissection of the Sympathetic Nerves Around the Mesorectum at the Abdominopelvic Border.Cureus · 2024Article
- Anatomical Location of the Vesical Branches of the Inferior Hypogastric Plexus in Human Cadavers.Diagnostics (Basel, Switzerland) · 2024Article
- Applied anatomy of female pelvic plexus for nerve-sparing radical hysterectomy(NSRH).BMC women's health · 2023Article
- Troublesome Venous Bleeding During Wertheim's Hysterectomy: a Review of Surgical Anatomy and Point of Technique to Troubleshoot.Indian journal of surgical oncology · 2019Article
- Limited energy parametrial resection/dissection during modified laparoscopic nerve-sparing radical hysterectomy.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2018Article
- 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
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe separation and sparing of the vesical branch of the inferior hypogastric plexus (IHP), to preserve the pelvic autonomic nerve, is critical and difficult in nerve sparing radical hysterectomy. Pelvic local anatomy was performed to provide the necessary anatomical information.
methodsPrecise pelvic anatomy was performed in 15 adult corpses, and immunohistochemical analysis was carried out on the parametrial tissues of three fresh cadavers to analyze the nerve fiber type and content of the vesical branch of the IHP.
resultsThe deep uterine vein is located in the upper region of the cardinal ligament (CL), with three to six multiple branches and anatomical variation, including one or two cervical branches, and two to four vesical branches. Three branches were found to be most common (63.3 %). The major distribution of the vesical branch of the IHP is dorsomedial to the middle and inferior vesical veins, with less ventral and lateral distribution. There are more sympathetic fibers than parasympathetic fibers in the vesical branch. There is a region rare of vasculature and nerve between the vaginal lateral margin and the vesical branch.
conclusionThe deep uterine vein is suggested as an anatomical landmark during surgery, to process the CL and preserve the pelvic splanchnic nerves. The middle and inferior vesical veins can be used as the landmark to preserve the vesical branch of the IHP.
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