Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer
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Authors
Ricciardi, Enzo
Jakimovska, Marina
Maniglio, Paolo
Schimberni, Mauro
Frega, Antonio
Kobal, Borut
Moscarini, Massimo
Issue Date
2012-08-30
Type
Article
Language
en_US
Keywords
Cervical Cancer , Fertility-Sparing Procedure , Laparoscopy , Lymphadenectomy , Obturator Nerve Injury
Alternative Title
Abstract
Background:
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.
Case presentation:
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.
Conclusion:
Immediate laparoscopic repair was successful and there was no functional deficit in the left thigh for six months postoperatively.
Description
Citation
Ricciardi, E., Jakimovska, M., Maniglio, P., Schimberni, M., Frega, A., Kobal, B., & Moscarini, M. (2012). Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer. World journal of surgical oncology, 10, 177. https://doi.org/10.1186/1477-7819-10-177
Publisher
World Journal of Surgical Oncology