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Robot‐assisted laparoscopic management of a vascular entrapment of the sacral nerve roots causing pelvic pain
Author(s) -
Taner Usta,
Aysel Ozkaynak,
Ahmet Kale,
Gulfem Basol
Publication year - 2019
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14008
Subject(s) - medicine , pelvis , dermatome , surgery , neurovascular bundle , decompression , laparoscopy , obturator nerve , pelvic pain , entrapment , presentation (obstetrics)
The aim of this case report is to demonstrate the robot‐assisted laparoscopic decompression approach to treat the aberrant vessels entrapping the sacral nerves causing pelvic pain. A 34‐year‐old female patient had been complaining about pelvic pain on the left perineal region which was radiating to the sacral 1–2 nerves dermatome for 3 years. Decompression of sacral nerve roots and sciatic nerve was performed via robot‐assisted and a four‐arm Da Vinci Si Surgical System laparoscopic approach. This case report is the first presentation of robot‐assisted laparoscopic management of a vascular entrapment of the sacral nerve roots. The robotic technique offers, three‐dimensional vision, improved maneuverability and enhanced ergonomics in the deepest area in the pelvis and could be a valid alternative to laparoscopy in the treatment of intrapelvic neurovascular entrapments.