Nerve-sparing in Gynecology

ObjectiveTo demonstrate identification and dissection of the pelvic autonomic nerves in gynecologic surgery.DesignIdentification on the right and left pelvic pelvises, dissection and preservation of the inferior hypogastric plexus in deep endometriosis, and dissection and preservation of the pelvic autonomic nerves in radical hysterectomy.SettingAcademic center.InterventionsRobotic excision of the pelvic peritoneum, excision of deep endometriosis in the uterosacral ligaments, and radical hysterectomy.ConclusionPelvic autonomic nerves are easy to identify with the magnification provided with an endoscopic camera. They should be dissected and preserved whenever possible because of their important function.