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

dc.contributor.authorVan der Walt, Sone
dc.contributor.authorOettle, Anna Catherina
dc.contributor.authorVan Wijk, Frans Jacob
dc.date.accessioned2015-08-21T09:39:07Z
dc.date.available2015-08-21T09:39:07Z
dc.date.issued2016
dc.description.abstractOBJECTIVE : 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.librarianhb2015en_ZA
dc.description.urihttp://www.karger.com/Journal/Home/223845en_ZA
dc.identifier.citationVan 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.issn0378-7346 (print)
dc.identifier.issn1423-002X (online)
dc.identifier.other10.1159/000435878
dc.identifier.urihttp://hdl.handle.net/2263/49426
dc.language.isoenen_ZA
dc.publisherKargeren_ZA
dc.rights© 2015 S. Karger AG, Baselen_ZA
dc.subjectRichter’s procedureen_ZA
dc.subjectSacrospinous ligamenten_ZA
dc.subjectVaginal prolapseen_ZA
dc.subjectSafe areaen_ZA
dc.subjectPudendal nerve (PN)en_ZA
dc.subjectInferior rectal nerve (IRN)en_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-17
dc.subject.otherSDG-17: Partnerships for the goals
dc.titleThe pudendal nerve and its branches in relation to the Richter’s procedureen_ZA
dc.typePostprint Articleen_ZA

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