Pelvic intraoperative neuromonitoring enables electrophysiological monitoring of nerve functions during surgical interventions in the small pelvis. pIOM® has been proven to improve functional outcomes in patients undergoing total mesorectal excision (TME), thereby contributing significantly to maintaining their quality of life.
The application of pelvic intraoperative neuromonitoring on the C2 Xplore and the pIOM® accessories is flexible, intuitive and user-friendly. With the help of the inoGuide, users are guided step by step through the procedure of pelvic intraoperative neuromonitoring with the pIOM® technology. With the help of the special pIOM® accessories, the anorectal function is continuously monitored during the measurement. Urinary function is monitored by measuring bladder pressure. Stimulation probes for open and minimally invasive laparoscopic and robot-assisted procedures are available for the stimulation of the autonomic nerves. If the nerves are successfully innervated, the surgeons are informed acoustically and visually about the activity. The simultaneous display of EMG signals from the anal sphincter muscles and bladder pressure makes it easier for the surgeons to identify nerves and therefore to operate more gently. All events and comments are permanently stored on the C2 Xplore for documentation purposes and can be exported to a report for the patient record.
