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#568 Laparoscopic nerve sparing technique in gynecological surgery
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  1. Andreas Kavallaris,
  2. Antonis Gkoutzioulis,
  3. Ourania Kaiafa,
  4. Panagiotis Papandreou,
  5. Sofia Papadimitriou,
  6. Evgenia Stergiannakou and
  7. Dimitrios Zygouris
  1. St.Luke’s Hospital, Thessaloniki, Greece

Abstract

Introduction/Background We aim to demonstrate the entire structure of the inferior hypogastric nerve and plexus in the female pelvis. We present our technique, surgical and patient outcomes in patients that underwent laparoscopic nerve sparing surgery in our institution.

Methodology We present data from 105 patients that were operated in St. Luke’s Hospital in Thessaloniki during the last 10 years. All data were retrospectively collected and analyzed, emphasizing on intraoperative and postoperative complications.

Results This is a retrospective study of 64 patients with cervical cancer that underwent laparoscopic nerve sparing radical hysterectomy and 41 patients with deep infiltrating endometriosis. In all cases hypogastric nerve and hypogastric plexus were identified and preserved during the operation. The postoperative period was uneventful concerning voiding function.

Conclusion Preservation of the pelvic splanchnic nerve as well as from the inferior hypogastric plexus can provide satisfactory postoperative voiding function and are crucial in cases of radical hysterectomy or deep infiltrating endometriosis.

Disclosures All authors declare no conflict of interest

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