Deep infiltrating endometriosis with sacral plexus involvement : Improving knowledge through human cadaver dissection

Copyright © 2021 Elsevier Masson SAS. All rights reserved..

INTRODUCTION: The aim of this study was to assess a human cadaver model of sacral plexus dissection for learning about deep innervation in the female pelvis, and the latter's relationship with deep infiltrating endometriosis.

METHODS: This was a prospective, observational study. Eight residents in obstetrics and gynecology were tested before and after a lecture on innervation of the female pelvis and a cadaver dissection class. Standardized cadaver dissection was used to identify the sacral nerve roots S2 to S4, superior and inferior hypogastric plexuses, hypogastric nerve, and splanchnic nerves.

RESULTS: The residents' level of knowledge improved significantly after a one-hour lecture (p = 0.9.10-5) and after a cadaver dissection class (p = 0.6.10-6). The improvement was significantly greater for the dissection class (p = 0.0003). All the pelvic nerve structures were identified in all but one of the cadavers and had similar measurements. A vascular anatomical variant was observed in one case.

CONCLUSION: A human cadaver model is of value for learning about deep pelvic innervation and the latter's relationship with deep infiltrating endometriosis. The reproducibility and safety of cadaver dissection might improve surgical skills.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Journal of gynecology obstetrics and human reproduction - 50(2021), 8 vom: 01. Okt., Seite 102129

Sprache:

Englisch

Beteiligte Personen:

Sanguin, Sophie [VerfasserIn]
Roman, Horace [VerfasserIn]
Foulon, Arthur [VerfasserIn]
Gondry, Jean [VerfasserIn]
Havet, Eric [VerfasserIn]
Klein, Céline [VerfasserIn]

Links:

Volltext

Themen:

Deep infiltrating endometriosis
Human cadaver dissection
Journal Article
Observational Study
Sacral roots
Sciatic nerve

Anmerkungen:

Date Completed 29.12.2021

Date Revised 29.12.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jogoh.2021.102129

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM323377823