Robot-assisted laparoscopic management of a vascular entrapment of the sacral nerve roots causing pelvic pain

Taner U., Aysel O., Ahmet K., Gulfem B.

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, vol.45, no.8, pp.1603-1607, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 45 Issue: 8
  • Publication Date: 2019
  • Doi Number: 10.1111/jog.14008
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1603-1607
  • Keywords: laparoscopy, neurovascular entrapment, pelvic pain, robotic surgery, sciatic nerve
  • Acibadem Mehmet Ali Aydinlar University Affiliated: Yes


The aim of this case report is to demonstrate the robot-assisted laparoscopic decompression approach to treat the aberrant vessels entrapping the sacral nerves causing pelvic pain. A 34-year-old female patient had been complaining about pelvic pain on the left perineal region which was radiating to the sacral 1-2 nerves dermatome for 3 years. Decompression of sacral nerve roots and sciatic nerve was performed via robot-assisted and a four-arm Da Vinci Si Surgical System laparoscopic approach. This case report is the first presentation of robot-assisted laparoscopic management of a vascular entrapment of the sacral nerve roots. The robotic technique offers, three-dimensional vision, improved maneuverability and enhanced ergonomics in the deepest area in the pelvis and could be a valid alternative to laparoscopy in the treatment of intrapelvic neurovascular entrapments.