The pudendal nerve and its branches in relation to the Richter’s procedure

Show simple item record Van der Walt, Sone Oettle, Anna Catherina Van Wijk, Frans Jacob 2015-08-21T09:39:07Z 2015-08-21T09:39:07Z 2016
dc.description.abstract OBJECTIVE : Variations in the branching pattern of the pudendal nerve (PN) have been described in the literature. This study investigated these variations in order to comment on a safe area for the placement of a Richter's stitch. METHODS : Richter's procedure was performed on nine unembalmed female cadavers and followed by dissection. PN dissections were done on another 20 embalmed female cadavers. Variations in the branching pattern of the PN were noted and the distance between the Richter's stitch placed and the PN/or the inferior rectal nerve (IRN) measured. RESULTS : The IRN entered the gluteal region as a separate structure in 6/29 cases. The separate IRN was found to pass between 4.1 and 14.45 mm medial to the ischial spine in 18/29 cases. In one case, the Richter's stitch was found to pierce the IRN. The distance between the stitch and the PN and/or the IRN ranged from 0 to 17.8 mm. CONCLUSIONS : To minimize the risk of nerve damage or entrapment, the Richter's stitch should be placed >20 mm from the ischial spine. This recommended area should be revised for different population groups, as variations might exist between groups. en_ZA
dc.description.librarian hb2015 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Van Der Walt, S, Oettlé, AC & Van Wijk, FJ 2016, 'The pudendal nerve and its branches in relation to the Richter’s procedure', Gynecologic and Obstetric Investigation, vol. 81, no. 3, pp. 275-279. en_ZA
dc.identifier.issn 0378-7346 (print)
dc.identifier.issn 1423-002X (online)
dc.identifier.other 10.1159/000435878
dc.language.iso en en_ZA
dc.publisher Karger en_ZA
dc.rights © 2015 S. Karger AG, Basel en_ZA
dc.subject Richter’s procedure en_ZA
dc.subject Sacrospinous ligament en_ZA
dc.subject Vaginal prolapse en_ZA
dc.subject Safe area en_ZA
dc.subject Pudendal nerve (PN) en_ZA
dc.subject Inferior rectal nerve (IRN) en_ZA
dc.title The pudendal nerve and its branches in relation to the Richter’s procedure en_ZA
dc.type Postprint Article en_ZA

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