The importance of anatomic precision in differential sacral neurotomy for cord bladder
| Autor: | J.M. Meredith |
|---|---|
| Rok vydání: | 1954 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Cord Nerve root business.industry Urinary Bladder Diseases General Medicine Anatomy musculoskeletal system Sacrum Spinal cord medicine.disease Neurotomy Surgery body regions medicine.anatomical_structure Cadaver medicine Spastic Humans business Urinary bladder disease |
| Zdroj: | American journal of surgery. 87(6) |
| ISSN: | 0002-9610 |
| Popis: | Differential sacral neurotomy is believed to be a very satisfactory procedure for achieving an automatic bladder in spastic lesions of the spinal cord either post-traumatically or after non-traumatic cord lesions such as severe myeloencephalitis. Attention is called to certain anatomic facts with respect to the close approximation of the sacral roots especially at the S 2 , 3 and 4 foramina in the sacrum as shown by anatomic dissections in the cadaver, and also at operation. The practical application of these facts is that great care must be taken both in interpreting the effects of preoperative novocain injections of the different sacral foramina and nerves, and also in searching for the proper nerve to divide surgically in the individual sacral foramen following novocain injection. The surgeon must take care that, through error, the wrong nerve is not injected or divided. By following certain simple anatomic observations, such errors can be readily avoided. These observations are directed particularly to the occasional operator in this type of case who might otherwise be led astray in interpreting the result of novocain injections and in identifying the appropriate nerve roots for surgical division at the individual sacral foramina. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|