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Transection of the obturator nerve by an electrosurgical instrument and its immediate repair during laparoscopic pelvic lymphadenectomy: a case report

  • M.J. Song1,
  • 'C.W. Lee1
  • J.H. Yoon1
  • S.Y. Hur1,*,

1Department of Obstetrics and Gynecology, College of Medicine, the Catholic University of Korea, Seocho-Gu, Seoul (Korea)

DOI: 10.12892/ejgo23762014 Vol.35,Issue 2,March 2014 pp.167-169

Published: 10 March 2014

*Corresponding Author(s): S.Y. Hur E-mail: hursy@catholic.ac.kr

PDF (202.79 kB)

Abstract

Obturator nerve injury seldom occurs in gynecologic surgery. However, gynecologic oncologic surgery, including pelvic lymph node dissection, increases the risk of this type of injury. Microsurgical techniques are usually performed for the repair of the nerve injury. Herein the authors report a case of obturator nerve injury caused by an electrosurgical instrument during laparoscopic pelvic lymphadenectomy, and its prompt repair by laparoscopic procedure in a 44-year-old patient with cervical cancer.

Keywords

Obturator nerve injury; Laparoscopic neurorrhaphy; Pelvic lymphadenectomy.

Cite and Share

M.J. Song,'C.W. Lee,J.H. Yoon,S.Y. Hur. Transection of the obturator nerve by an electrosurgical instrument and its immediate repair during laparoscopic pelvic lymphadenectomy: a case report. European Journal of Gynaecological Oncology. 2014. 35(2);167-169.

URL:

https://www.ejgo.net/articles/10.12892/ejgo23762014

References

[1] Hoffman MS, Roberts WS, Cavanagh D: Neuropathies associated with radical pelvic surgery for gynecologic cancer. Gynecol Oncol 1988, 31,462.

[2] Redwine DB, Sharpe DR: Endometriosis of the obturator nerve. A case report. J Reprod Med 1990, 35,434.

[3] Vasilev SA: Obturator nerve injury: a review of management options. Gynecol Oncol 1994, 53, 152.

[4] Ghaemmaghami F, Behnamfar F, Saberi H: Immediate grafting of transected obturator nerve during radical hysterectomy. Int J Surg 2009, 7, 168.

[5] Kitagawa R, Kim D, Reid N, Kline D: Surgical management of obturator nerve lesions. Neurosurgery 2009, 65(4 Suppl), A24.

[6] Bjork KJ, Mucha P Jr, Cahill DR: Obturator hernia. Surg Gynecol Obstet 1988, 167, 217.

[7] Cardosi RJ, Cox CS, Hoffman MS: Postoperative neuropathies after major pelvic surgery. Obstet Gynecol 2002, 100, 240.

[8] Spaliviero M, Steinberg AP, Kaouk JH, Desai MM, Hammert WC, Gill IS: Laparoscopic injury and repair of obturator nerve during radical prostatectomy. Urology 2004, 64, 1030.


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