Day 5: Congress: Wednesday, November 13, 2019

Neuropelveology – Nerve-Sparing Resection of Parametrial Endometriosis


Wednesday, November 13, 2019


10:20am – 11:00am


Ballroom B and C


Live Surgery


Assia A. Stepanian, Amanda C. Yunker


Nucelio Lemos, Toronto, Ontario, Canada


Sven Becker, Frankfurt, Germany, M. Jonathon Solnik, Toronto, Ontario, Canada

Course Description

Autonomic nerve damage is one of the most important causes of morbidity after radical resection of endometriosis. This live surgery session will focus on the role of pelvic, sacral and hypogastric nerves dissection on the treatment of parametrial endometriosis, and the LANN technique will be used to demonstrate the pelvic neuroanatomy. Techniques for surgical handling of pelvic nerves will be discussed and demonstrated, as well as the concept of nerve-sparing surgery through the direct visualization of nerve bundles.

Course Objectives

At the conclusion of this activity, the participant will be able to: 1) Recognize the autonomic and somatic nerve bundles crossing the pelvis; 2) discuss which steps of radical resection of endometriosis are most associated to autonomic nerve damage; and 3) implement essential nerve-sparing techniques into their practice.