12 results on '"Possover, M."'
Search Results
2. Laparoscopically assisted radical vaginal hysterectomy
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Hertel, H., Kohler, C., Michels, W., Possover, M., Tozzi, R., and Schneider, A.
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Laparoscopic surgery ,Adult ,medicine.medical_specialty ,medicine.medical_treatment ,Uterine Cervical Neoplasms ,Pilot Projects ,Hysterectomy ,Ureter ,Laparotomy ,medicine.artery ,Hysterectomy, Vaginal ,medicine ,Humans ,Radical surgery ,Laparoscopy ,Uterine artery ,Aged ,medicine.diagnostic_test ,business.industry ,Obstetrics and Gynecology ,Middle Aged ,Surgery ,Vaginal ,Dissection ,medicine.anatomical_structure ,Oncology ,Female ,Lymph Node Excision ,business - Abstract
A vaginal or a laparoscopic approach in radical surgery for cervical carcinoma has been proposed. A pilot study of eight cases shows that an oncologic surgeon familiarized with these techniques is able to take advantage of the benefits of both routes in the same patient: laparoscopic surgery is adapted to lymph node dissection, section of the origin of the uterine artery, and dissection of the ureter under direct vision; vaginal surgery allows a precise incision of the vaginal cuff. Both routes may be used for the section of parameters, but we propose the use of the vaginal route. The combination of vaginal and laparoscopic surgery spares the pain and discomfort of both laparotomy and perineotomy.
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- 2003
3. Renaissance of the Schauta operation
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Kohler, C., Possover, M., Klemm, P., Tozzi, R., and Schneider, A.
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Wertheim ,Trachelectomy ,Cervical carcinoma ,Lymphonodectomy ,Schauta - Published
- 2002
4. The Laparoscopic Approach to Control Intractable Pelvic Neuralgia: From Laparoscopic Pelvic Neurosurgery to the LION Procedure
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Jan Baekelandt, Marc Possover, Vito Chiantera, Possover, M., Baekelandt, J., and Chiantera, V.
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Adult ,Male ,Nerve injury ,medicine.medical_specialty ,Neurological disorder ,Neurosurgical Procedure ,Pelvic Pain ,Neurosurgical Procedures ,Follow-Up Studie ,LION ,medicine.nerve ,Superior hypogastric plexus ,medicine ,Humans ,Peripheral Nerves ,Laparoscopy ,Neurolysis ,Pelvic neuralgia ,Peripheral neuromodulation ,Aged ,Postoperative Care ,medicine.diagnostic_test ,business.industry ,Pelvic pain ,Middle Aged ,medicine.disease ,Electric Stimulation ,Neuromodulation (medicine) ,nervous system diseases ,Surgery ,body regions ,Anesthesiology and Pain Medicine ,Peripheral Nerve ,Neuralgia ,Female ,Neurology (clinical) ,Neurosurgery ,medicine.symptom ,business ,Follow-Up Studies ,Human - Abstract
OBJECTIVE: To present different aspects and advantages of the laparoscopic approach to the pelvic nerves aimed at treating intractable pelvic neuralgia. METHODS: We report on a nonconsecutive series of 7 patients with different types and etiologies of chronic pelvic neuralgia, all of whom underwent laparoscopy. In all 7 cases, the neuralgia was refractory to medical management and had profound socioeconomic consequences for the patients. RESULTS: Techniques of laparoscopic transperitoneal neurolysis of several pelvic somatic nerves are described but also our technique of laparoscopic implantation of neuroprothesis for neuromodulation on somatic pelvic nerves or on autonomic pelvic nerves as the superior hypogastric plexus. DISCUSSION: Laparoscopic approach to the pelvic nerves opens new possibilities for the diagnosis and treatment of pelvic neuralgia, and offers new curative surgical techniques. © 2007 Lippincott Williams & Wilkins, Inc.
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- 2007
5. The 'Laparoscopic Neuro-Navigation' -- LANN: from a functional cartography of the pelvic autonomous neurosystem to a new field of laparoscopic surgery
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Vito Chiantera, Marc Possover, Kerstin Rhiem, Possover, M., Rhiem, K., and Chiantera, V.
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Laparoscopic surgery ,Radiology, Nuclear Medicine and Imaging ,medicine.medical_specialty ,Surgical approach ,Parasympathetic nerves ,business.industry ,medicine.medical_treatment ,Pudendal nerve ,Pelvic plexus ,Neuro navigation ,Surgery ,Parasympathetic nerve ,body regions ,medicine.nerve ,Autonomous nerve system ,Neurostimulation ,medicine ,Functional surgery ,Sciatic nerve ,business ,Cartography - Abstract
It is the objective of this study to etablish the technique of laparoscopic exposure of all pelvic somatic and autonomous nerves. In all our patients who underwent a laparoscopic surgical approach of the retroperitoneum, exposure and assessment of the exposed nerves using laparoscopic neuro-navigation were performed. Laparoscopic surgery allows the surgical approach to all pelvic nerves, particularly to the sciatic nerve, the pudendal nerve and the splanchnic pelvic nerves. We describe a cartography of the functional anatomy of the pelvic plexus and elaborate on the concept of "laparoscopic pelvic functional surgery". © 2004 Taylor & Francis.
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- 2004
6. Anatomy of the Sacral Roots and the Pelvic Splanchnic Nerves in Women Using the LANN Technique
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Jan Baekelandt, Marc Possover, Vito Chiantera, Possover, M., Chiantera, V., and Baekelandt, J.
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musculoskeletal diseases ,Micturition ,Neurostimulation ,Pelvic splanchnic nerves ,Lumbosacral Plexus ,Splanchnic Nerve ,Gynecologic Surgical Procedures ,Gynecologic Surgical Procedure ,Humans ,Medicine ,Retroperitoneal Space ,Laparoscopy ,Pelvic splanchnic nerve ,Intraoperative Care ,medicine.diagnostic_test ,business.industry ,Dissection ,Splanchnic Nerves ,Anatomy ,musculoskeletal system ,Electric Stimulation ,body regions ,Sacral nerve ,Female ,Surgery ,business ,Lumbosacral Plexu ,Human - Abstract
AIMS: To report on our anatomic and electrophysiologic findings about the sacral nerve roots and the pelvic splanchnic nerves during laparoscopic pelvic surgery. METHODS: The pelvic splanchnic nerves and the sacral nerve roots were dissected in 336 consecutive patients undergoing laparoscopy for pelvic pain syndrome or gynecologic diseases. Intraoperative assessment of the functionality of the exposed nerves was performed using the LAparoscopic Neuro-Navigation (LANN) technique. RESULTS: Dissection of the sacral roots and the splanchnic pelvic nerves lateral to the sacral hypogastric fascia was feasible without any complications in all patients in this series. The mean surgical time was 16 minutes per side. The pelvic splanchnic nerves could be divided anatomically and functionally into vesical and rectal nerve fibers. CONCLUSIONS: Laparoscopy in combination with the LANN technique not only permits an intraoperative functional mapping of the pelvic motoric autonomous nerves but also a differentiation between the vesical and rectal nerves and between the efferent and afferent pelvic nerves. © 2007 Lippincott Williams & Wilkins, Inc.
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- 2007
7. Neuropelveology: New Groundbreaking Discipline in Medicine
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Vito Chiantera, Axel Forman, Nucelio Lemos, Marc Possover, Benoit Rabischong, Possover, M., Forman, A., Rabischong, B., Lemos, N., and Chiantera, V.
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Editorial ,business.industry ,MEDLINE ,Obstetrics and Gynecology ,Library science ,Medicine ,business - Published
- 2015
8. Neuromodulation of the superior hypogastric plexus: a new option to treat bladder atonia secondary to radical pelvic surgery?
- Author
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Marc Possover, Vito Chiantera, Possover, M., and Chiantera, V.
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Male ,medicine.medical_treatment ,Endometriosis ,urologic and male genital diseases ,Colonic Diseases ,Postoperative Complications ,Medicine ,Laparoscopy ,Urinary bladder ,medicine.diagnostic_test ,Prostatectomy ,Hypogastric Plexus ,Bladder atonia ,Equipment Design ,Middle Aged ,female genital diseases and pregnancy complications ,Pain, Intractable ,LION procedure ,Superior hypogastric plexus ,medicine.anatomical_structure ,Female ,Superior hypogastric plexu ,medicine.symptom ,Adult ,medicine.medical_specialty ,Urinary Bladder ,Electric Stimulation Therapy ,Cauda equine ,Hysterectomy ,Pelvic Pain ,medicine.nerve ,Humans ,Urinary Bladder, Neurogenic ,Spina bifida ,business.industry ,Pelvic pain ,Prostatic Neoplasms ,medicine.disease ,Settore MED/40 - Ginecologia E Ostetricia ,Endometrial Neoplasms ,Surgery ,Urodynamics ,Rectal Diseases ,Neurology (clinical) ,business ,Genital Diseases, Female ,Follow-Up Studies - Abstract
Background The aim of this study is to report on the impact of neuromodulation to the superior hypogastric plexus in patients with bladder atonia secondary to pelvic surgery. Methods In 4 consecutive patients with bladder atonia secondary to pelvic surgery, we performed a laparoscopic implantation of a neurostimulator—LION procedure—to the entire superior hypogastric plexus. Results Of the 4 reported patients, 3 are able to partially void or empty their bladder. Conclusions If the presented results could be obtained in further patients and maintained in long-term follow-up, the LION procedure to the superior hypogastric plexus could change the management of bladder function in patients with bladder atonia.
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- 2009
9. Laparoscopic neurolysis of the sacral plexus and the sciatic nerve for extensive endometriosis of the pelvic wall
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D. Li, Vito Chiantera, Jan Baekelandt, C. Flaskamp, Marc Possover, Possover M., Baekelandt J., Flaskamp C., Li D., and Chiantera V.
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medicine.medical_specialty ,Pelvi ,Lumbosacral Plexus ,Endometriosis ,Deep infiltrating endometriosis ,Laparoscopic neurolysis ,Somatic pelvic nerve ,Pelvis ,Laparoscopic neurofunctional pelvic surgery ,medicine ,Laparoscopic neurolysi ,Humans ,Endometriosi ,Laparoscopy ,Neurolysis ,Sciatica ,medicine.diagnostic_test ,business.industry ,Pudendal neuralgia ,General Medicine ,medicine.disease ,Sciatic Nerve ,Settore MED/40 - Ginecologia E Ostetricia ,Sacral plexus ,Surgery ,Deep infiltrating endometriosi ,body regions ,Orthopedic surgery ,Female ,Neurology (clinical) ,Sciatic nerve ,medicine.symptom ,business ,Lumbosacral Plexu ,Human - Abstract
Background: The aim of this study is to report on the feasibility of laparoscopic neurolysis of the plexus sacralis and the sciatic nerve in deep endometriotic infiltration of the lateral pelvic wall. Methods: A transperitoneal approach to the pelvic nerves combined with the LANN technique for intraoperative assessment of the function of the exposed nerves permit exposure and sparing of all somatic nerves during resection of the endometriotic lesion. Results: We report on our short experience with 21 patients who underwent this technique for the treatment of endometriotic infiltration of the sacral plexus at different levels. Conclusion: In young patients with chronic unilateral sciatica or unilateral pudendal neuralgia - Alcock's canal syndrome - where no neurological/orthopedic etiologies have been found, endometriotic infiltration of the lateral pelvic wall has to be implicated as a potential etiology and an indication for laparoscopy must be discussed. Laparoscopic neurolysis of the pelvic somatic nerves is a feasible procedure for trained laparoscopic surgeons who have a good knowledge of the retroperitoneal pelvic (neuro)anatomy. © Georg Thieme Verlag KG Stuttgart.
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- 2007
10. Isolated infiltrative endometriosis of the sciatic nerve: a report of three patients
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Marc Possover, Vito Chiantera, Possover, M., and Chiantera, V.
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Adult ,medicine.medical_specialty ,Endometriosis ,Laparoscopic neurolysis ,Sciatic nerve ,sciatic nerve ,laparoscopic neurolysi ,Female patient ,medicine ,Endometriosis surgery ,Humans ,Endometriosi ,Neurolysis ,Sciatica ,business.industry ,Outcome measures ,Obstetrics and Gynecology ,medicine.disease ,Sacral plexus ,Surgery ,nervous system ,Reproductive Medicine ,Female ,medicine.symptom ,Sciatic Neuropathy ,business ,Human - Abstract
Objective: To report that isolated endometriosis of the sciatic nerve without further manifestation of endometriosis does exist. Design: We describe our technique of laparoscopic neurolysis of the sciatic nerve and the sacral plexus. Setting: Department of Gynecology and Obstetrics, St. Elisabeth Hospital, affiliated with the University of Cologne, Cologne, Germany. Patient(s): Three female patients with isolated endometriotic infiltration of the endopelvic portion of the sciatic nerve. Intervention(s): Elective laparoscopic neurolysis of the sciatic nerve with removal of endometriosis. Main Outcome Measure(s): Disparition of pain in the patients and histologic information of the endometriosis. Result(s): Isolated endometriosis of the sciatic nerve and/or the sacral plexus does exist without any further endometriosis genitalis externa manifestations. Conclusion(s): In young patients with sciatica of an unknown genesis, an endometriosis of the sciatic nerve must be evoked, and a laparoscopic exploration of the sciatic nerve must be discussed. © 2007 American Society for Reproductive Medicine.
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- 2006
11. The 'neurologic hypothesis': A new concept in the pathogenesis of the endometriosis?
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Marc Possover, Vito Chiantera, Kerstin Rhiem, Possover, M., Rhiem, K., and Chiantera, V.
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medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Endometriosis ,Laparoscopic-vaginal surgery ,Obstetrics and Gynecology ,Interventional radiology ,medicine.disease ,Sympathetic nerve system ,Surgery ,medicine.anatomical_structure ,Peritoneum ,Obstetrics and gynaecology ,Surgical oncology ,Ligament ,Medicine ,Adenomyosis ,Radiology ,Endometriosi ,business ,Cervix - Abstract
To cartograph the retroperitoneal infiltration of deep-infiltrating endometriosis of the rectovaginal space, we report on 467 patients who underwent laparoscopic/vaginal surgery for deep-infiltrating adenomyosis of the rectovaginal space. Exact localisation of the locoregional extension and of secondary infiltrating localisation where noted. The cervix and the rectovaginal ligament were mostly involved, while isolated lesions of the rectovaginal space were very rare. Comparisons of the most involved sites show an absolute correlation with the anatomical repartition of the pelvic sympathetic nervous system. We postulate a new "neurologic theory" which could be one more explanation for the development of adenomyosis of the rectovaginal space and maybe the peritoneum. © Springer-Verlag 2005.
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- 2005
12. The LANN technique to reduce postoperative functional morbidity in laparoscopic radical pelvic surgery
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Jens Quakernack, Vito Chiantera, Marc Possover, Possover, M, Quakernack, J, and Chiantera, V
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endometriosis ,Adult ,medicine.medical_specialty ,Uterine Cervical Neoplasm ,medicine.medical_treatment ,Vaginal Diseases ,Uterine Cervical Neoplasms ,Pilot Projects ,Splanchnic Nerve ,splanchnic nerve ,laparoscopic surgery ,medicine ,Hysterectomy, Vaginal ,Humans ,Pilot Project ,Prospective Studies ,Postoperative Period ,Endometriosi ,Prospective cohort study ,Pelvic surgery ,Aged ,Cervical cancer ,Hysterectomy ,business.industry ,Vaginal Disease ,Rectal Disease ,Splanchnic Nerves ,Middle Aged ,medicine.disease ,Deep infiltrating endometriosis ,Surgery ,Feasibility Studie ,Dissection ,Prospective Studie ,Rectal Diseases ,Feasibility Studies ,Female ,Laparoscopy ,business ,Bladder function ,Pelvic splanchnic nerve ,Human - Abstract
BACKGROUND: We investigated the feasibility and advantages of introducing Laparoscopic Neuro-Navigation (LANN) into the field of laparoscopic gynecologic radical pelvic surgery. STUDY DESIGN: In a prospective pilot study, 261 consecutive patients underwent laparoscopic radical pelvic surgery for cervical cancer or deep infiltrating endometriosis of the parametria. During the procedure, dissection and electrostimulation, and consequently, sparing of the pelvic parasympathetic nerves by transection of the parametria, were performed. Postoperative bladder dysfunction was documented. RESULTS: Laparoscopic dissection and electrostimulation of the pelvic splanchnic nerves were feasible in all patients without any complications, and the rate of postoperative bladder dysfunction was considerably reduced, to less than 1% of the patients. CONCLUSIONS: The parasympathetic nerve-sparing method using the Laparoscopic Neuro-Navigation technique in laparoscopic radical pelvic gynecologic surgery is a feasible and reproducible technique that preserves postoperative bladder function. © 2005 by the American College of Surgeons.
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- 2005
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