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Neurophysiology and Minimal Invasive Laparoscopic Therapy

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Minimally Invasive Gynecological Surgery
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Abstract

The pelvis is not only the anatomical site of various organs such as the bladder, the rectum, and the reproductive organs, but also contains the pelvic nerves. Only the pelvic nerves and plexuses enable the central nervous system the necessary control to the sexual functions, storage and elimination of urine and feces, and movement and sensation in the pelvis and the legs. Therefore, damages to these nerves lead to multiple following conditions:

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References

  • Abrams P, Kelleher CJ, Kerr LA, Rogers RG (2000) Overactive bladder significantly affects quality of life. Am J Manag Care 6:S580–S590

    CAS  PubMed  Google Scholar 

  • Kantartzis K, Shepherd J (2012) Sacral neuromodulation and intravesical botulinum toxin for refractory overactive bladder. Curr Opin Obstet Gynecol 24(5):331–336

    Article  PubMed  Google Scholar 

  • Lu MC, Ho CY, Hsu SF et al (2008) Effects of electrical stimulation at different frequencies on regeneration of transacted peripheral nerve. Neurorehabil Neural Repair 22:367–373

    Article  PubMed  Google Scholar 

  • Mawson A, Siddiqui F, Connolly B, Sharp C, Summer W, Binndo J Jr (1993) Effect of high voltage pulsed galvanic stimulation on sacral transcutaneous oxygen tension levels in the spinal cord injured. Paraplegia 31:311–319

    Article  CAS  PubMed  Google Scholar 

  • McCaig CD, Sangster L, Stewart R (2000) Neurotrophins enhance electric field-directed growth cone guidance and directed nerve branching. Dev Dyn 217:299–308

    Article  CAS  PubMed  Google Scholar 

  • Peters KM, Feber KM, Bennett RC (2005) Sacral versus pudendal nerve stimulation for voiding dysfunction: a prospective, single-blinded, randomized, crossover trial. Neurourol Urodyn 24(7):643–647

    Article  PubMed  Google Scholar 

  • Possover M (2004) Laparoscopic exposure and electrostimulation of the somatic and autonomous pelvic nerves: a new method for implantation of neuroprothesis in paralysed patients? J Gynecol Surg Endosc Imag Allied Tech 1:87–90

    Google Scholar 

  • Possover M (2009) Laparoscopic management of neural pelvic pain in women secondary to pelvic surgery. Fertil Steril 91:2720–2725

    Article  PubMed  Google Scholar 

  • Possover M (2010a) The neuropelveology: a new specialty in medicine. Pelviperineology 29:123–124

    Google Scholar 

  • Possover M (2010b) New surgical evolutions in management of sacral radiculopathies. Surg Technol Int 19:123–128

    PubMed  Google Scholar 

  • Possover M (2010c) The laparoscopic implantation of neuroprothesis to the sacral plexus for therapy of neurogenic bladder dysfunctions after failure of percutaneous sacral nerve stimulation. Neuromodulation 13:141–144

    Article  PubMed  Google Scholar 

  • Possover M (2011) The neuropelveology: from the exposure of the pelvic nerves to a new discipline in medicine. Gynecol Surg 8:117–119

    Article  Google Scholar 

  • Possover M (2013a) Laparoscopic management of sacral nerve root schwannoma with intractable vulvococcygodynia: report of three cases and review of literature. J Minim Invasive Gynecol 20(3):394–397

    Article  PubMed  Google Scholar 

  • Possover M (2013b) Recovery of sensory and supraspinal control of leg movement in peoples with chronic paraplegia: a case series. Arch Phys Med Rehabil 13:1016

    Google Scholar 

  • Possover M (2014a) The LION procedure to the pelvic nerves for treatment of urinary and faecal disorders. Surg Technol Int 24:225–230

    PubMed  Google Scholar 

  • Possover M (2014b) A novel technique of implantation for pudendal nerve stimulation for treatment of overactive bladder (OAB) with urgency incontinence (UUI). J Minim Invasiv Gynecol (in press)

    Google Scholar 

  • Possover M, Forman A (2012) Voiding dysfunction associated with pudendal nerve entrapment. Curr Bladder Dysfunct Rep 7(4):281–285

    Article  PubMed Central  PubMed  Google Scholar 

  • Possover M, Forman A (in press) Neuropelveological assessment of neuropathic pelvic pain. Gynecol Surg

    Google Scholar 

  • Possover M, Lemos N (2011) Risks, symptoms, and management of pelvic nerve damage secondary to surgery for pelvic organ prolapse: a report of 95 cases. Int Urogynecol J 22(12):1485–1490

    Article  PubMed  Google Scholar 

  • Possover M, Rhiem K, Chiantera V (2004) The “Laparoscopic Neuro-Navigation”- LANN: from a functional cartography of the pelvic autonomous neurosystem to a new field of laparoscopic surgery. Min Invas Ther Allied Technol 13:362–367

    Article  Google Scholar 

  • Possover M, Baekelandt J, Chiantera V (2007a) Anatomy of the sacral roots and the pelvic splanchnic nerves in women using the LANN technique. Surg Laparosc Endosc Percutan Tech 17(6):508–510

    Article  PubMed  Google Scholar 

  • Possover M, Baekelandt J, Chianteras V (2007b) The Laparoscopic Implantation of Neuroprothesis – LION technique – to control intractable abdomino-pelvic neuralgia. Neuromodulation 10:18–23

    Article  PubMed  Google Scholar 

  • Possover M, Baekelandt J, Chiantera V (2007c) The laparoscopic approach to control intractable pelvic neuralgia: from laparoscopic pelvic neurosurgery to the LION technique. Clin J Pain 23(9):821–825

    Article  PubMed  Google Scholar 

  • Possover M, Schurch B, Henle KP (2010) New pelvic nerves stimulation strategy for recovery bladder functions and locomotion in complete paraplegics. Neurourol Urodyn 29:1433–1438

    Article  PubMed  Google Scholar 

  • Possover M, Schneider T, Henle KP (2011) Laparoscopic therapy of endometriosis and vascular entrapment of sacral plexus. Fertil Steril 95(2):756–758

    Article  PubMed  Google Scholar 

  • Spinelli M, Malaguti S, Giardiello G, Lazzeri M, Tarantola J, Hombergh U (2005) A new minimally invasive procedure for pudendal nerve stimulation to treat neurogenic bladder: description of the method and preliminary data. Neurourol Urodyn 24:305–309

    Article  PubMed  Google Scholar 

  • Tanagho EA, Schmidt RA (1988) Electrical stimulation in the clinical management of the neurogenic bladder. J Urol 140:1331–1339

    CAS  PubMed  Google Scholar 

  • van Kerrebroeck PE (1998) The role of electrical stimulation in voiding dysfunction. Eur Urol 34(suppl 1):27–30

    Article  PubMed  Google Scholar 

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Possover, M. (2015). Neurophysiology and Minimal Invasive Laparoscopic Therapy. In: Istre, O. (eds) Minimally Invasive Gynecological Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44059-9_21

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  • DOI: https://doi.org/10.1007/978-3-662-44059-9_21

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44058-2

  • Online ISBN: 978-3-662-44059-9

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