Article | Radicality | Nerve-sparing surgical steps | ||||||
Ventral parametrium | Lateral parametrium | Dorsal parametrium | Vaginal vault/paracolpium | Bladder branches | Pelvic splanchnic nerve | Hypogastric nerve | Inferior hypogastric plexus | |
Raspagliesi et al | + | + | + | Restricted to only 2 cm because of omitting the maneuver to isolate the inferior hypogastric plexus and lateralize it before resection of the vaginal vault | + | – (The description and the figures do not match our current knowledge about the exact course of the pelvic splanchnic nerves) | + | +/- By misunderstanding the course of the pelvic splanchnic nerve, the preparation of the inferior hypogastric plexus is missed |
Charoenkwan et al | + | + | + | Not described | – | – | + | – |
Hoeckel et al | – | + | + | Restricted at the anterior vaginal wall | – | – | + | – |
Possover et al/Koehler et al | -/+ | + | + | +Vaginal cuff (only one third) but without any paracolpium | – | + (Middle rectal artery is the landmark) | + | – |
Yabuki et al | + | + | + | + | +/- | + | + | – |
Uses the Yabuki space as a landmark, which is difficult to be developed as we do not have reliable anatomical landmarks to define it. Yabuki space itself will highlight only the deep layer of vesico-uterine ligament. The bladder branches reside in the lateral side of the vaginal wall and not in the vesico-uterine ligament | ||||||||
Sakuragi et al | + | + | + | + | + | + | + | + |
No precise steps to prepare the ventral parametrium isolating the bladder branches of the inferior hypogastric plexus | ||||||||
Fujii et al | + | + | + | + | + | + | + | + |