Additional videos from SGS are available here, including these recent offerings:
Sacral nerve root endometriosis
Dr. Einarsson is Director of the Minimally Invasive Gynecologic Surgery Division, Brigham and Women’s Hospital, Boston, Massachusetts.
Dr. Gupta is Fellow in Minimally Invasive Gynecologic Surgery, Brigham and Women’s Hospital, Boston, Massachusetts.
Dr. Alimena is Gynecologic Oncology Fellow, Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Brigham and Women’s Hospital, Boston, Massachusetts.
Dr. Ajao is Fellowship Director, Minimally Invasive Gynecologic Surgery, Brigham and Women’s Hospital, and Assistant Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts.
Dr. Einarsson reports serving as a consultant to Arthrex, Hologic, and Olympus. The other authors report no financial relationships relevant to this video.
Brought to you by the Society of Gynecologic Surgeons. In this video, the authors demonstrate the surgical management of complex endometriosis involving the sacral nerve roots. The video highlights the critical steps needed to accomplish this task and also highlights the deep retroperitoneal anatomy that surgeons are required to identify and be comfortable with. This includes the internal iliac vein and sacral nerve roots. This clinical scenario requires specialized expertise, and viewers should consider referring such complex cases to minimally invasive gynecologic surgery (MIGS) surgeons comfortable with neuropelveology for subspecialty care.