Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500017 |
Resumo: | Lesions of lumbar plexus are uncommon and descriptions of surgical access are derived from vertebral spine approaches. METHOD: The extraperitoneal anterolateral approach to the lumbar plexus was performed in six adult fresh cadavers. The difficulties on dissection were related. RESULTS: An exposure of all distal elements of lumbar plexus was possible, but a cranial extension of the incision was needed to reach the iliohypogastric nerve in all cases. Ligation of vessels derived from common iliac artery was necessary for genitofemoral and obturator nerves exposure in two cases. The most proximal part of the lumbar roots could be identified only after dissection and clipping of most lumbar vessels. CONCLUSION: The extraperitoneal anterolateral approach allows appropriate exposure of terminal nerves of lumbar plexus laterallly to psoas major muscle. Cranial extension of the cutaneous incision may be necessary for exposure of iliohypogastric nerve. Roots exposure increases the risk of vascular damage. |
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Arquivos de neuro-psiquiatria (Online) |
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Critical analysis of extra peritoneal antero-lateral approach for lumbar plexuslumbar plexussurgical approachperipheral nerveLesions of lumbar plexus are uncommon and descriptions of surgical access are derived from vertebral spine approaches. METHOD: The extraperitoneal anterolateral approach to the lumbar plexus was performed in six adult fresh cadavers. The difficulties on dissection were related. RESULTS: An exposure of all distal elements of lumbar plexus was possible, but a cranial extension of the incision was needed to reach the iliohypogastric nerve in all cases. Ligation of vessels derived from common iliac artery was necessary for genitofemoral and obturator nerves exposure in two cases. The most proximal part of the lumbar roots could be identified only after dissection and clipping of most lumbar vessels. CONCLUSION: The extraperitoneal anterolateral approach allows appropriate exposure of terminal nerves of lumbar plexus laterallly to psoas major muscle. Cranial extension of the cutaneous incision may be necessary for exposure of iliohypogastric nerve. Roots exposure increases the risk of vascular damage.Academia Brasileira de Neurologia - ABNEURO2011-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500017Arquivos de Neuro-Psiquiatria v.69 n.4 2011reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2011000500017info:eu-repo/semantics/openAccessMartins,Roberto SérgioMonaco,Bernardo AssumpçãoSiqueira,Mario GilbertoForoni,LucianoHeise,Carlos OttoTeixeira,Manoel Jacobseneng2011-09-01T00:00:00Zoai:scielo:S0004-282X2011000500017Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2011-09-01T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
title |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
spellingShingle |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus Martins,Roberto Sérgio lumbar plexus surgical approach peripheral nerve |
title_short |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
title_full |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
title_fullStr |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
title_full_unstemmed |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
title_sort |
Critical analysis of extra peritoneal antero-lateral approach for lumbar plexus |
author |
Martins,Roberto Sérgio |
author_facet |
Martins,Roberto Sérgio Monaco,Bernardo Assumpção Siqueira,Mario Gilberto Foroni,Luciano Heise,Carlos Otto Teixeira,Manoel Jacobsen |
author_role |
author |
author2 |
Monaco,Bernardo Assumpção Siqueira,Mario Gilberto Foroni,Luciano Heise,Carlos Otto Teixeira,Manoel Jacobsen |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Martins,Roberto Sérgio Monaco,Bernardo Assumpção Siqueira,Mario Gilberto Foroni,Luciano Heise,Carlos Otto Teixeira,Manoel Jacobsen |
dc.subject.por.fl_str_mv |
lumbar plexus surgical approach peripheral nerve |
topic |
lumbar plexus surgical approach peripheral nerve |
description |
Lesions of lumbar plexus are uncommon and descriptions of surgical access are derived from vertebral spine approaches. METHOD: The extraperitoneal anterolateral approach to the lumbar plexus was performed in six adult fresh cadavers. The difficulties on dissection were related. RESULTS: An exposure of all distal elements of lumbar plexus was possible, but a cranial extension of the incision was needed to reach the iliohypogastric nerve in all cases. Ligation of vessels derived from common iliac artery was necessary for genitofemoral and obturator nerves exposure in two cases. The most proximal part of the lumbar roots could be identified only after dissection and clipping of most lumbar vessels. CONCLUSION: The extraperitoneal anterolateral approach allows appropriate exposure of terminal nerves of lumbar plexus laterallly to psoas major muscle. Cranial extension of the cutaneous incision may be necessary for exposure of iliohypogastric nerve. Roots exposure increases the risk of vascular damage. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2011000500017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.69 n.4 2011 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
_version_ |
1754212771556229120 |