Targeting nerve safety: an innovative era in minimally invasive sciatic and sacral surgery with real-time neuromonitoring for sensorimotor protection and foot drop prevention

Key Points

• The aim is to evaluate the feasibility and safety of laparoscopic nerve decompression using real-time neuromonitoring for preventing motor impairment.
• Laparoscopic surgery performed on selected patients with refractory pelvic neuropathic pain.
• Real-time multimodal neuromonitoring used to guide surgery and assess nerve safety.
• Intraoperative feedback provided actionable insights for optimizing decompression.
• Real-time neuromonitoring deemed feasible and safe for the procedure.
• Intraoperative feedback potentially reduced the risk of motor impairment.
• Study supports the need for further multicentre evaluations.

Abstract