Robot-assisted Exploration of Somatic Nerves in the Pelvis and Transection of the Sacrospinous Ligament for Alcock Canal Syndrome.

Journal: Journal of minimally invasive gynecology
Published Date: Jan 1, 2022

Abstract

STUDY OBJECTIVE: Some articles have reported the surgical management of Alcock canal syndrome (ACS) using the transperineal [1], transgluteal [2], or conventional laparoscopic approach [3,4]. In 2015, Rey and Oderda [5] reported the first robotic neurolysis of the pudendum, providing the advantages of robot-assisted surgery: magnified and 3-dimensional vision and greater precision of movements. However, to our knowledge, there have been no reports on the use of a robotic platform for the treatment of ACS in the field of gynecology. Therefore, the objective of this video is to describe the anatomic and technical highlights of robotic exploration of the somatic nerves in the pelvis and transection of the sacrospinous ligament (nerve decompression) for ACS.

Authors

  • Kiyoshi Kanno
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
  • Kiyoshi Aiko
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
  • Shiori Yanai
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
  • Mari Sawada
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
  • Shintaro Sakate
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
  • Masaaki Andou
    Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.

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