Surgical anatomy and dissection of the hypogastric plexus in nerve-sparing radical hysterectomy
Abstract: Radical hysterectomy is a central surgical procedure in gynecological oncology. A nerve-sparing approach is essential to minimize complications from iatrogenic injury to the pelvic nerves, resulting in postoperative urinary, anorectal, and sexual dysfunction. The hypogastric plexus (HP), a complex network of sympathetic and parasympathetic nerves, plays a critical role in pelvic autonomic innervation. This article offers a comprehensive overview of the surgical anatomy of the HP and provides a step-by-step description of HP dissection, with a particular emphasis on preserving the bladder nerve branches of the inferior HP. A thorough understanding and mastery of the anatomical and surgical nuances of HP dissection are crucial for optimizing outcomes in nerve-sparing gynecologic-oncological procedures
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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ISSN: 2075-4418
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2024
- Creator
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Kostov, Stoyan
Kornovski, Yavor
Yordanov, Angel
Watrowski, Rafał
Slavchev, Stanislav
Ivanova, Yonka
Ganev, Tosho
Yalçın, Hakan
Selçuk, Ilker
- DOI
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10.3390/diagnostics14010083
- URN
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urn:nbn:de:bsz:25-freidok-2458880
- Rights
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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14.08.2025, 10:48 AM CEST
Data provider
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Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Kostov, Stoyan
- Kornovski, Yavor
- Yordanov, Angel
- Watrowski, Rafał
- Slavchev, Stanislav
- Ivanova, Yonka
- Ganev, Tosho
- Yalçın, Hakan
- Selçuk, Ilker
- Universität
Time of origin
- 2024
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Nerve-Sparing Laparoscopic Cystoprostatectomy Based on Inferior Hypogastric Plexus Dissection: Our Initial Experience
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Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis
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Applied anatomy of female pelvic plexus for nerve-sparing radical hysterectomy(NSRH)
Nerve-Sparing Radical Hysterectomy: Kobayashi's Method
Nerve-Sparing Laparoscopic Cystoprostatectomy Based on Inferior Hypogastric Plexus Dissection: Our Initial Experience
Nerve-Sparing Radical Hysterectomy Using the Okabayashi–Kobayashi Method
Comparison of Nerve-Sparing Radical Hysterectomy and Radical Hysterectomy: a Systematic Review and Meta-Analysis
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