Article Text

Download PDFPDF

#568 Laparoscopic nerve sparing technique in gynecological surgery
  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


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

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.