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
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Anmerkungen
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ISSN: 2075-4418
- Ereignis
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Veröffentlichung
- (wo)
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Freiburg
- (wer)
-
Universität
- (wann)
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2024
- Urheber
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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
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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14.08.2025, 10:48 MESZ
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Beteiligte
- Kostov, Stoyan
- Kornovski, Yavor
- Yordanov, Angel
- Watrowski, Rafał
- Slavchev, Stanislav
- Ivanova, Yonka
- Ganev, Tosho
- Yalçın, Hakan
- Selçuk, Ilker
- Universität
Entstanden
- 2024
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