Learning anatomy for laparoscopic surgery — YRD

Learning anatomy for laparoscopic surgery (1412)

Alfonso Rossetti

In the female pelvis the surgeon has to deal with different considerations.

•           Specific anatomical land marks define the limits of the operating field as in any other surgical field.

•           Nerve sparing surgery becomes mandatory to retain the function of the different organs.

•           Pressure gradients in the different compartments play an important role in the postoperative success rate for suspension surgery.

•           The interaction, anatomical and functional, of the different organs is very important to guarantee a normal behaviour, both on the sexual and voiding aspects of daily live.

These factors make surgery in the human female pelvis challenging. A thorough knowledge not only of pelvic anatomy, vascular- nervous- muscular-ligamental- fascial-virtual and physical spaces (foramina) and bony, but also of the mechanical forces and of the physiological processes is therefore necessary.