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Papers of the Week


2021 Jul 27


J Minim Invasive Gynecol

Robot-assisted exploration of somatic nerves in the pelvis and transection of the sacrospinous ligament for Alcock canal syndrome.

Authors

KannoAiko KK, Yanai S, Sawada M, Sakate S, Andou M
J Minim Invasive Gynecol. 2021 Jul 27.
PMID: 34329746.

Abstract

Some articles have reported the surgical management of Alcock canal syndrome (ACS) using transperineal [1], transgluteal [2], or conventional laparoscopic approach [3, 4]. In 2015, Rey and Oderda 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 [5]. However, to our knowledge, there have been no reports of 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.