Randiomized controlled tirla of the effect of mannitol in renal reperfusion injury during aortic aneryusm surgery

✍ Scribed by P. V. Tisi; C. P. Shearman; M. L. Nicholson

• Book ID: 101751912
• Publisher: John Wiley and Sons
• Year: 1997
• Tongue: English
• Weight: 132 KB
• Volume: 84
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800840457

✦ Synopsis

Waldeyer'. According to Waldeyer, the pelvic sympathetic innervation consists of a paired truncus sympathicus pelvinus, a primary sympathetic pelvic plexus and a secondary sympathetic plexus. The paired truncus sympathicus pelvinus is identical to what we call the hypogastric nerves. The primary sympathetic pelvic plexus corresponds to sacral sympathetic trunk described by Dr Liang and colleagues. The primary sympathetic plexus is closely related to the hypogastric vessels and is located posterior to the parietal pelvic fascia. As the function of this sympathetic plexus is not clear, it is not known what symptoms are associated with intraoperative damage to these nerves. Damage to these nerves is unlikely during total mesorectal excision as the area posterior to the parietal fascia close to the iliac artery and vein is not entered. The superior rectal plexus as described by Dr Liang et al. corresponds to the superior rectal plexus as part of the secondary sympathetic plexus as described by Waldeyer. As these nerves only innervate the rectum we agree they are not relevant in rectal cancer surgery.