The book The Pelvis, structure, gender and society is a plea for more thorough research in pelvic science. A general research effort is needed, like the decade of the brain and fundamental research should be stimulated. Problems emerging from clinical and surgical procedures can only be solved if it is known how the normal pelvic anatomical and physiological interactions can be restored. Main focus should thus be on fundamental research.
Book The Pelvis: Structure, gender and society
Dear Enrico
The pelvis is a very important structure, which besides having inside various organs, has a wealth of neuro vascular structures. It is the connection of the spine with the lower limbs and any imbalance in this relationship can cause numerous problems in the skeletal muscle system. As orthopedic surgeon I may say that the understanding of pelvic anatomy has improved a lot, especially with the papers of : Buerger, Gänsslen, Mears, Tile, Burgess and Young, Pennal and Sutherland, Judet, Mata and others.
In addition to better understanding of the regional anatomy, modern imaging tests facilitate better understanding of pelvic ring injuries. The anatomy is a science in constant evolution.
Dear Nelson, Open book pelvic fractures ( see Marvin Tile) has an survival rate of 22% for people above 40 years! So, can we do better in pelvic science?
Thanks for your reaction, and of course clinicians and scientists do what they can under momentary circumstances: do we need a pelvic decade of research since human population sees more and more elderly with pelvic problems by falls, incontinence etc.
Enrico
Dear Enrico, I think we can always do better and add something.
I currently work with deep endometriosis surgery and one of the biggest fears were neurologic sequelae (eg voiding dysfunction and acute urinary retention, ...).
Work with an interdisciplinary team allows us to see things we do not see before.
Therefore I believe that work interdependently and interdisciplinary may be the way to do the best.
Sincerely.
In the USA 200.000 hysterectomies are performed for uterine fibroids each year. Fibroids are two times more common in nulliparous woman as compared to woman with multiple pregnancies. In autopsies over 70% of leiomyomas are found.
How come we are so late in detection?
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