The online version of this article (doi:10.1186/1477-7819-10-177) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
ER conceived of the study, collected data and drafted the manuscript. MJ participated in the design of the study. PM participated in imaging editing and collection. MS helped in drafting the manuscript. AF corrected and revised the manuscript. BK performed the surgery and participated in study design. MM participated in coordination and helped to draft and edit the manuscript. All authors read and approved the final manuscript.
Intraoperative injury of the obturator nerve has rarely been reported in patients with gynecological malignancies undergoing extensive radical surgeries. Irreversible damage of this nerve causes thigh paresthesia and claudication. Intraoperative repair may be done by end-to-end anastomosis or grafting when achieving tension-free anastomosis is not possible.
A 28-year-old woman with stage IB cervical cancer underwent fertility–sparing surgery, including conization and bilateral pelvic lymphadenectomy. The left obturator nerve was damaged intraoperatively during pelvic dissection.
Immediate laparoscopic repair was successful and there was no functional deficit in the left thigh for six months postoperatively.
Benes J: Immediate grafting of the damaged obturator nerve by gynaecological surgery. Acta Neurochir (Wien). 1999, 141: 435-436. 10.1007/PL00010095. CrossRef
Harvey G, Bell S: Obturator neuropathy. An anatomic perspective. ClinOrthop Relat Res. 1999, 363: 203-211.
- Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer
- BioMed Central
Neu im Fachgebiet Chirurgie
e.Med Kampagnen-Visual, Mail Icon II