Nerve-sparing Technique

Nerve-sparing Technique (step-by-step guide)

The figures below are taken from three step-by-step guides published to help other surgeons improve technique and outcomes. In particular, the guide demonstrates the landmarks for attaining the correct nerve sparing surgical plane and the equally important technique for minimizing trauma to the neurovascular bundle by avoiding stretch injury.

1. SV dissection

2. Cut and peel on arteries

3. SV dissected out bilaterally

4. Defining the anterior contour

5. Creating the window for the lateral pedicle ligation

6. Intrafascial Nervesparing

7. Interfascial nerve-sparing for higher risk, higher volume tumors

8. Suction counter-traction contributes to neurapraxia

9. R Intermittent blunt dissection and neurapraxia

10. L intermittent blunt dissection and neurapraxia

11. R sharp dissection emphasis

12. L vertical spread

13. Lateral pedicle ligation landmarks

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