inomed has completed the development of its pIOM technology for pelvic neuromonitoring, and this new technology and product from inomed can help minimize the risk of nerve impairments during surgical interventions in the minor pelvis. The application of this technique can reduce the incidence of postoperative complications. Real-time assessment of nerves provides surgeons with timely information about neural functions and can help minimise complications and maintain the quality of life for patients. The pIOM technology for pelvic neuromonitoring has been perfected following ten years of clinical research with the Medical University of Mainz, Germany. This technique is now being used in many clinics.
Rectal cancer is among the most frequent forms of cancer worldwide. The autonomic nervous system of the minor pelvis is very complex and can be difficult to evaluate visually. Pelvic neuromonitoring can be used for several surgical interventions in the minor pelvis and is currently indicated for the resection of rectal cancer. For this condition, the procedure of choice is the deep anterior total mesorectal excision (TME). During resection of the rectal carcinoma, pelvic neuromonitoring can significantly reduce the number of postoperative complications including incontinence and sexual dysfunction. The pIOM-technology developed by inomed allows surgeons to have access to additional information. Using this information in conjunction with other parameters enables the surgeon to deliver improved outcomes and a higher quality of life for patients.
Pelvic neuromonitoring is delivered by expanding the gold standard in intraoperative monitoring ISIS IOM Systems >> with additional software and hardware tools. New pIOM accessories >> have been specially designed for pelvic neuromonitoring resulting in an easy setup for the procedure.
Simultaneous display of bladder pressure and EMG signals for anal sphincter muscles allow the surgeon to fully rely on pelvic neuromonitoring and focus his or her attention on the target area.
Other departments such as proctology, gynaecology or urology can benefit from pelvic neuromonitoring as well.