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fascia, in order to avoid the saphenous vein and nerve. The deep posterior compartment here is superficial and readily accessible. The fascia of the deep posterior compartment is carefully opened distally and proximally, under the belly of the soleus muscle, paying special attention to the posterior tibial neurovascular bundle. Through the same incision, the fascia of the superficial posterior compartment is opened widely, two centimeters posterior and parallel to the incision in the fascia of the deep compartment.
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During surgery, these neurovascular bundles, both superficial and deep, should be protected in order to prevent neurological damage. A common anatomically informed, surgical technique to avoid damaging neurovascular bundles is to undermine anteriorly to the posterior tibial margin after reaching the
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improves urinary continence and erectile function. Consequently, NS is recommended in elderly men and those with pre-existing erectile dysfunction, whom many surgeons would previously have only offered non-NS surgery. It was also found that during surgeries in which neurovascular bundles are
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Faure Walker, Nicholas; Nair, Rajesh; Anderson, Chris (September 2015). "Re: Gunnar
Steineck, Anders Bjartell, Jonas Hugosson, et al. Degree of Preservation of the Neurovascular Bundles During Radical Prostatectomy and Urinary Continence 1 Year after Surgery. Eur Urol 2015;67:559–68".
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Gray's
Anatomy: The Anatomical Basis of Clinical Practice, Expert Consult, 40e. By Susan Standring, PhD, DSc, Emeritus Professor of Anatomy, Head of Anatomy and Human Sciences, King's College London, London, UK.
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muscles, supplying motor branches to these muscles. The superficial branch then continues onto the dorsum of the foot to supply sensory fibers to the skin there.
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structures outside the endothelium. This structure allows arteries to contract, relax and remain flexible and transfer blood when under pressure.
108:, have a more complicated structure than superficial neurovascular bundles. Since arteries have high intraluminal
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52:, superficial neurovascular bundles differ from deep neurovascular bundles in both composition and function.
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In surgeries, the principle superficial neurovascular bundles at risk are, medially, the
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There are two types of neurovascular bundles: superficial bundles and deep bundles. As
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Superficial neurovascular bundles do not include arteries, and consist primarily of
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305:"The Patrick C. Walsh Prostate Cancer Research Fund: The Winning Vision Continues"
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The preservation of both neurovascular bundles during nerve-sparing (NS) radical
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68:. Because capillaries function as the sites for substance exchange between
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is a structure that binds nerves and veins (and in some cases arteries and
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preserved, the frequency of positive margins were only 5.8 percent.
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Both superficial and deep neurovascular bundles are at risk during
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relative to capillaries and veins, these bundles have
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156:and its accompanying nerve, and, laterally, the
104:Deep neurovascular bundles, which often include
28:so that they travel in tandem through the body.
84:. Normally, capillaries consist of a central
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128:Neurovascular bundles are useful for
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189:flexor digitorum longus muscle
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92:, a single layer of smooth
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158:superficial peroneal nerve
76:, they tend to have large
40:do not travel within the
195:. It also gives rise to
181:posterior tibial artery
168:and passes between the
46:loose connective tissue
244:"AO Surgery Reference"
201:lateral plantar artery
197:medial plantar artery
162:common peroneal nerve
136:Clinical significance
154:great saphenous vein
18:neurovascular bundle
56:Superficial bundles
185:tibialis posterior
166:neck of the fibula
142:surgical incisions
70:interstitial fluid
42:superficial fascia
325:Tissues (biology)
118:connective tissue
26:connective tissue
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148:Leg surgery
90:endothelium
62:capillaries
277:(3): e63.
253:16 October
224:References
80:and short
48:under the
22:lymphatics
164:near the
32:Structure
319:Category
291:25913067
124:Function
106:arteries
38:arteries
24:) with
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174:brevis
66:nerves
44:, the
130:axons
86:lumen
74:blood
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255:2015
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