Avtor/Urednik     Riccardi, Enzo; Jakimovska, Marina; Maniglio, Paolo; Schimberni, Mauro; Frega, Antonio; Kobal, Borut; Moscarini, Massimo
Naslov     Laparoscopic injury of the obturator nerve during fertility-sparing procedure for cervical cancer
Tip     članek
Vol. in št.     Letnik 10, št. 177
Leto izdaje     2012
Obseg     str. 1-3
ISSN     1477-7819 - World journal of surgical oncology
Jezik     eng
Abstrakt     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.
Proste vsebinske oznake     cervical cancer
fertility-sparing procedure
laparoscopy
lymphadenectomy
obturator nerve injury