Copyright
©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 16, 2017; 9(5): 211-219
Published online May 16, 2017. doi: 10.4253/wjge.v9.i5.211
Published online May 16, 2017. doi: 10.4253/wjge.v9.i5.211
Nerve preserving vs standard laparoscopic sacropexy: Postoperative bowel function
Stefano Cosma, Chiara Benedetto, Department of Surgical Sciences, University of Torino, 10126 Torino, Italy
Paolo Petruzzelli, Saverio Danese, Department of Gynecology and Obstetrics, City of Health and Science, 10126 Torino, Italy
Author contributions: Cosma S contributed to study conception, design, data acquisition, analysis, interpretation, and writing of article; Benedetto C contributed to editing, reviewing and final approval of article; Petruzzelli P and Danese S performed surgery.
Institutional review board statement: This retrospective study was performed without direct contact with patients and no individual patient information was revealed. The described experimental procedure (nerve preserving laparoscopic sacropexy) had already been approved by the Local Ethics committee for our preliminary anatomoclinical published research and subsequently introduced in the clinical practice of the department. Therefore, this study had no need of further review by the local Institutional Review Board.
Informed consent statement: All study participants provided informed written consent before undergoing surgery and for personal data processing.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
Data sharing statement: Anonymous dataset is available from the corresponding author at cosmastefano@libero.it.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Stefano Cosma, MD, PhD, Department of Surgical Sciences, University of Torino, Via Ventimiglia 3, 10126 Torino, Italy. cosmastefano@libero.it
Telephone: +39-011-3131711 Fax: +39-011-3134142
Received: November 24, 2016
Peer-review started: November 27, 2016
First decision: January 16, 2017
Revised: February 19, 2017
Accepted: March 12, 2017
Article in press: March 13, 2017
Published online: May 16, 2017
Peer-review started: November 27, 2016
First decision: January 16, 2017
Revised: February 19, 2017
Accepted: March 12, 2017
Article in press: March 13, 2017
Published online: May 16, 2017
Core Tip
Core tip: Laparoscopic sacropexy is associated with postoperative bowel dysfunction (constipation, obstructed defecation syndrome) in 10%-50% of cases, with significant worsening in the quality of life. Iatrogenic denervation of the autonomic pelvic nerves was reported as a relevant cause of this kind of dysfunction. The aim of this observational study was to evaluate the safety and efficacy of our nerve preserving technique.