Antonio Macrì, Giorgio Badessi, Carmelo Mazzeo, Marica Galati, Eugenio Cucinotta, Vincenzo Rizzo
{"title":"Technique of neuromonitoring during pelvic peritonectomy.","authors":"Antonio Macrì, Giorgio Badessi, Carmelo Mazzeo, Marica Galati, Eugenio Cucinotta, Vincenzo Rizzo","doi":"10.1515/pp-2020-0132","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Pelvic peritonectomy can induce anorectal and urogenital dysfunctions. To reduce this type of complications during the procedure, we propose to use intraoperative neuromonitoring (IONM).</p><p><strong>Content: </strong>Stimulation with a bipolar probe allows the identification of the obturator and ilioinguinal and pudendal nerves. At the end of the cytoreductive surgery, the motor and somatosensory evoked potentials must be evaluated to confirm the preservation of pelvic innervation.</p><p><strong>Summary: </strong>The use of IONM during pelvic peritonectomy is technically feasible, and it can help to preserve pelvic nerves.</p><p><strong>Outlook: </strong>Obviously, its definitive value remains to be elucidated.</p>","PeriodicalId":20231,"journal":{"name":"Pleura and Peritoneum","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2020-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1515/pp-2020-0132","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pleura and Peritoneum","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1515/pp-2020-0132","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 3
Abstract
Objectives: Pelvic peritonectomy can induce anorectal and urogenital dysfunctions. To reduce this type of complications during the procedure, we propose to use intraoperative neuromonitoring (IONM).
Content: Stimulation with a bipolar probe allows the identification of the obturator and ilioinguinal and pudendal nerves. At the end of the cytoreductive surgery, the motor and somatosensory evoked potentials must be evaluated to confirm the preservation of pelvic innervation.
Summary: The use of IONM during pelvic peritonectomy is technically feasible, and it can help to preserve pelvic nerves.
Outlook: Obviously, its definitive value remains to be elucidated.
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