alexa Nerve-Sparing Superior Hypogastric Plexus Para-Aortic Lymphadenectomy: Clinical Implications and Feasibility
Reproductive Medicine

Reproductive Medicine

Reproductive System & Sexual Disorders: Current Research

Author(s): Mikel Gorostidi, Pedro F Escobar

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For many gynecologic malignancies, treatment includes para-aortic lymphadenectomy. Traditionally fat, nodes, and sympathetic fibers are excised en bloc, sometimes including the superior hypogastric plexus (SHP). The SHP is an autonomic plexus, located ventrally to the abdominal aorta at its bifurcation, innervating the pelvic viscera. Anatomically, these nerves are composed of a complex network (mesh) of nerve fibers rather than solid nerve trunks, which are inherently difficult to visualize and spare by the oncologic surgeon during aortic node dissections.

This article was published in Journal of Minimally Invasive Gynecology and referenced in Reproductive System & Sexual Disorders: Current Research

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