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

J Obstet Gynaecol Res. 2019 Aug;45(8):1603-1607. doi: 10.1111/jog.14008. Epub 2019 Jun 10.


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.

Keywords: laparoscopy; neurovascular entrapment; pelvic pain; robotic surgery; sciatic nerve.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Decompression, Surgical / methods*
  • Female
  • Humans
  • Laparoscopy / methods*
  • Nerve Compression Syndromes / surgery*
  • Pelvic Pain / surgery*
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Robotic Surgical Procedures / methods*
  • Sacrum / innervation*
  • Spinal Nerve Roots / surgery*