From the Pelvis to the Sciatic Nerve: Anatomy of the Pelvic Sidewall

Abstract

<h3>Study Objective</h3> The objectives of this study are to describe the neuroanatomy of the right pelvic sidewall and describe the proper technique for dissection of the pelvic structures including the avascular spaces and pelvic arteries and nerves. <h3>Design</h3> Robotic footage of pelvic anatomy from an Endometriosis-related gynecologic surgery is pieced into a video. <h3>Setting</h3> The study setting was the OR. <h3>Patients or Participants</h3> Patient recruited by the institution that had laparoscopic surgeries performed. <h3>Interventions</h3> Patient had robotic surgery for pelvic pain. <h3>Measurements and Main Results</h3> The anatomy of the right pelvic sidewall and the relationship between the structures and neuro-vasculature is clearly visible in the video. <h3>Conclusion</h3> In Gynecology, it is essential to understand the anatomy of the pelvic sidewall in order to avoid injury of important arteries and nerves, especially when the anatomy is damaged by disease processes such as endometriosis. Hence, this project was intended as an educational resource on the anatomy of the pelvic sidewall and the location of structures in relation to important arteries and nerves.